Publication: Subcutaneous larva migrans of a sparganum in a gnathostomiasis-endemic area
Accepted Date
2013-11-19
Issued Date
2013
Copyright Date
2013
Resource Type
Language
eng
ISSN
2325-7075 (printed)
Rights
Mahidol University
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Case Reports in Clinical Medicine
Bibliographic Citation
Akkarachinorate K, Udnan P, Chaisiri K, Komalamisra C, Dekumyoy P. Pakdee W. et al. Subcutaneous larva migrans of a sparganum in a gnathostomiasis-endemic area. Case Reports in Clinical Medicine 2013;2(9):530-534.
Suggested Citation
Kunlayanee Akkarachinorate, Pukvaran Udnan, Kittipong Chaisiri, กิตติพงษ์ ฉายศิริ, Chalit Komalamisra, ชลิต โกมลมิศร์, Paron Dekumyoy, พารณ ดีคำย้อย, Wallop Pakdee, วัลลภ ภักดี, Rangsan Praevanich, รังสรรค์ แพร่วาณิชย์, Sisuchart Mongkhonmu, สีสุชาติ มงคลหมู่, Dorn Watthanakulpanich, ดร วัฒนกุลพานิชย์ Subcutaneous larva migrans of a sparganum in a gnathostomiasis-endemic area. Akkarachinorate K, Udnan P, Chaisiri K, Komalamisra C, Dekumyoy P. Pakdee W. et al. Subcutaneous larva migrans of a sparganum in a gnathostomiasis-endemic area. Case Reports in Clinical Medicine 2013;2(9):530-534.. doi:10.4236/crcm.2013.29138 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/813
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Title
Subcutaneous larva migrans of a sparganum in a gnathostomiasis-endemic area
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Abstract
We report a case of subcutaneous larva migrans caused by a tape worm (sparganum), a rare and under-recognized food-borne parasitic zoonosis, in Nan Province, Northern Thailand. An obese 56-year-old female presented a 3-month history of an intermittent migrating subcutaneous nod-ule in the abdomen associated with pain and itching. Physical examination showed a tubal resection scar on the lower abdomen with a swelling and movable irregular, and firm nodule with ill-defined border at the right lower quad-rant of abdomen. Blood examination showed sli- ght increase of eosinophil levels (6%). Exci-sional biopsy showed a viable non-segmented tape worm in the subcutaneous tissue identified by morphological examination and Western blot technique as a sparganum. Surgical removal is recommended for a worm in the subcutaneous connective tissues and superficial muscles.