Korean J Parasitol.  2014 Feb;52(1):75-78. 10.3347/kjp.2014.52.1.75.

Recurred Sparganosis 1 Year after Surgical Removal of a Sparganum in a Korean Woman

Affiliations
  • 1Department of Anatomy, College of Medicine, Dankook University, Cheonan 330-714, Korea.
  • 2Department of Parasitology, College of Medicine, Dankook University, Cheonan 330-714, Korea.
  • 3Department of Orthopedic Surgery, College of Medicine, Dankook University, Cheonan 330-714, Korea. m3artist@hanmail.net

Abstract

Sparganosis, an infection due to the plerocercoid of Spirometra erinacei, are found worldwide but the majority of cases occur in East Asia including Korea. This report is on a recurred case of sparganosis in the subcutaneous tissue of the right lower leg 1 year after a surgical removal of a worm from a similar region. At admission, ultrasonography (USG) of the lesion strongly suggested sparganosis, and a worm was successfully removed which turned out to be a sparganum with scolex. Since sparganum has a variable life span, and may develop into a life-threatening severe case, a patient once diagnosed as sparganosis should be properly followed-up for a certain period of time. Although imaging modalities were useful for the diagnosis of sparganosis as seen in this case, serological test such as ELISA should also be accompanied so as to support the preoperative diagnosis.

Keyword

Spirometra erinacei; sparganum; sparganosis; ultrasonography

MeSH Terms

Animals
Antibodies, Helminth/blood
Asia
Asian Continental Ancestry Group
Enzyme-Linked Immunosorbent Assay
Female
Humans
Korea
Leg/parasitology/pathology/ultrasonography
Middle Aged
Recurrence
Sparganosis/*diagnosis/surgery
Spirometra/*isolation & purification
Antibodies, Helminth
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