Korean J Parasitol.
2021 Dec;59(6):635-638. 10.3347/kjp.2021.59.6.635.
A Human Case of Lumbosacral Canal Sparganosis in China
- Affiliations
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- 1Department of Neurosurgery, Xiangya Hospital Central South University, Changsha, Hunan, People’s Republic of China
- 2Department of Parasitology, Xiangya School of Medicine, Central South University, Changsha, Hunan, People’s Republic of China
- 3China-Africa Research Center of Infectious Diseases, Xiangya School of Medicine, Central South University, Changsha, Hunan, People’s Republic of China
- KMID: 2523535
- DOI: http://doi.org/10.3347/kjp.2021.59.6.635
Abstract
- In this study, we intended to describe a human case of lumbosacral canal sparganosis in People’s Republic of China (China). A 56-year-old man was admitted to Xiangya Hospital Central South University in Changsha, Hunan province, China after having an experience of perianal pain for a week. An enhancing mass, a tumor clinically suggested, was showed at the S1-S2 level of the lumbosacral spine by the examination of magnetic resonance imaging (MRI) with gadolinium contrast. The patient was received the laminectomy from S1 to S2, and an ivory-white living worm was detected in inferior margin of L5. In ELISA-test with cerebrospinal fluid (CSF) and serum samples, anti-sparganum antibodies were detected. He had a ingesting history of undercooked frog meat in his youth. By the present study, a human case of spinal sparganosis invaded in lumbosacral canal at the S1-S2 level was diagnosed in China. Although the surgical removal of larvae is known to be the best way of treatment for sparganosis, we administered the high-dosage of praziquantel, albendazole and dexamethasone to prevent the occurrence of another remain worms in this study.
