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Review of cysticercosis of maxillofacial region and report of two cases. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2022; 123:e760-e769. [PMID: 35858657 DOI: 10.1016/j.jormas.2022.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 07/03/2022] [Accepted: 07/15/2022] [Indexed: 11/23/2022]
Abstract
Cysticercosis is a parasitic infection caused by the larval stage of Taenia solium, which very rarely manifests in the maxillofacial region. It usually presents as a painless swelling. The most common site for maxillofacial cysticercosis are the tongue and lips. When humans accidently ingest the eggs of Taenia solium, they become the intermediate host, a role which is typically played by pig. This paper describes two cases of cysticercosis cellulosae, presenting as non-tender swelling of left buccal mucosa and left temporalis region respectively. Case reports available on PubMed were searched and a review was performed. Excision of cystic lesion was the treatment modality in majority of published reports. It is emphasised that cysticercosis should be considered in differential diagnosis of solitary painless swellings of oral and maxillofacial region, especially in patients from an endemic region.
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Cheruvu VPR, Khan MM. Solitary cysticercus in the right temporalis muscle: case report of a rare form of presentation of cysticercosis. J Surg Case Rep 2021; 2021:rjab223. [PMID: 34104406 PMCID: PMC8177903 DOI: 10.1093/jscr/rjab223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 05/11/2021] [Indexed: 11/13/2022] Open
Abstract
Solitary cysticercus localized to the head and neck musculature is an unusual form of presentation of cysticercosis. Since it is rare and has non-specific manifestations, it can present a diagnostic challenge to the clinician. Our patient was a 16-year-old female who presented with a gradually increasing, painful swelling over right temple region of 6-month duration. Ultrasound and computed tomography scan revealed the presence of a solitary cysticercus in the right temporalis muscle. Surgical excision of the lesion was combined with a 4-week course of the anti-helminthic drug, Albendazole. Patient had a satisfactory resolution of symptoms and there was no recurrence in a follow-up period of 3 years. We suggest that cysticercosis should be considered as one of the possibilities in the differential diagnosis of swellings in the maxillofacial region, especially in the endemic areas. Imaging studies play an important role in confirmation of the diagnosis.
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Affiliation(s)
- Ved Prakash R Cheruvu
- Department of Burns and Plastic Surgery, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, India
| | - Manal M Khan
- Department of Burns and Plastic Surgery, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, India
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Singh S, Singh AK, Sharma NK, Pandey A. Solitary myocysticercosis of masseter muscle: A rare presentation. Natl J Maxillofac Surg 2018; 9:229-231. [PMID: 30546241 PMCID: PMC6251284 DOI: 10.4103/njms.njms_18_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Cysticercosis in human is caused by larva of cyclophyllid cestode named Taenia solium. Worm infestation is quite common in developing countries due to poor sanitation, habit of open defection. This condition primarily involves central nervous system. We present a rare case of myocysticercosis involving the masseter muscle.
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Affiliation(s)
- Shankar Singh
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - Akhilesh Kumar Singh
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - Naresh Kumar Sharma
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - Arun Pandey
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
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Chand S, Mishra M, Singh G, Singh A, Tandon S. Orofacial cysticercosis: Report of a rare case with review of literature. Natl J Maxillofac Surg 2016; 7:209-212. [PMID: 28356697 PMCID: PMC5357924 DOI: 10.4103/0975-5950.201353] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Cysticercosis is common in developing countries in which the combination of rural society, crowding, and poor sanitation facilities allows greater contact between humans and pigs and thus more opportunities for fecal contamination of food and water occurs. They are rarely located in oral and perioral tissues, particularly in the muscles of mastication, muscle of the facial expression, suprahyoid muscles, and postcervical musculature and also as in the tongue, buccal mucosa, and lip. Cysticercosis is a potentially fatal parasitic disease that rarely found in the maxillofacial region in humans. This paper reports the case of a young female patient presented with isolated lesion of cysticercosis involving buccinator muscle. In conclusion, we suggest that cysticercosis should be considered in the differential diagnosis of intraoral solitary nodules within the oral and maxillofacial region, especially in endemic areas. High-resolution ultrasonography is an excellent noninvasive and cost-effective modality for the diagnosis and also suggests that localized parasitic infections such as Cysticercus cellulosae can be successfully treated with conservative management using oral antiparasitic (antihelminthic) medication.
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Affiliation(s)
- Sharad Chand
- Department of Oral and Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Madan Mishra
- Department of Oral and Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Gaurav Singh
- Department of Oral and Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Abhishek Singh
- Department of Oral and Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Sapna Tandon
- Department of Oral and Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India
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Chakravarti A, Bhargava R, Agarwal S. Unusual cause of neck swelling in two siblings. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/j.pedex.2013.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Cysticercosis involving muscle of mastication: a review and report of two cases. Case Rep Dent 2013; 2013:814126. [PMID: 24396612 PMCID: PMC3875126 DOI: 10.1155/2013/814126] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2013] [Accepted: 11/27/2013] [Indexed: 11/23/2022] Open
Abstract
Cysticercosis is a parasitic infection caused by the larval stages of the parasitic cestode, Taenia solium. It is a common disease in developing countries where it is also endemic. The central nervous system (CNS) is the most important primary site of infection and the disease can present with solitary or multiple space occupying lesions. Cases of cysticercosis presenting as isolated muscle mass (pseudotumours) without involvement of the CNS have also been recently described in the literature. We present two cases who presented to us with pain, swelling, and tenderness involving the temporalis muscle along with trismus. Ultrasonography and MRI findings were suggestive of cysticercosis involving the temporalis muscle which resolved after the albendazole therapy.
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Gupta D, Goyal AK, Tandon PN, Jurel SK, Srivastava S, Dangi UR, Singh S, Jain R. Platyhelminthes in Tongue—A Rare Case and Review. J Oral Maxillofac Surg 2012; 70:2605-9. [DOI: 10.1016/j.joms.2011.12.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2011] [Revised: 12/06/2011] [Accepted: 12/15/2011] [Indexed: 11/29/2022]
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Cysticercosis of tongue - A case report. Indian J Otolaryngol Head Neck Surg 2006; 58:185-7. [PMID: 23120281 DOI: 10.1007/bf03050784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
Tongue is a rare site for cysticercosis cellulosae. Very few cases of solitary cysticercosis of tongue have been reported. We are reporting one such case. Also a review of reported cases in literature, etoipathogenesis, clinical course and management is being described.
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Elias FM, Martins MT, Foronda R, Jorge WA, Araújo NSD. Oral cysticercosis: case report and review of the literature. Rev Inst Med Trop Sao Paulo 2005; 47:95-8. [PMID: 15880221 DOI: 10.1590/s0036-46652005000200007] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Cysticercosis is a condition that occurs when man is infested by the larvae of Taenia solium, acting as an intermediate host instead of definitive. Oral cysticercosis is a rare event, and it represents a difficulty in clinical diagnosis. A case of oral cysticercosis in a 23-year-old white female who presented a painless swelling in the dorsal portion of the tongue is reported. An excisional biopsy was performed and histopathological examination revealed a cystic cavity containing the tapeworm.
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Affiliation(s)
- Fernando Melhem Elias
- Oral and Maxillofacial Surgery, University Hospital, University of São Paulo, São Paulo, SP, Brazil
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Sidhu R, Nada R, Palta A, Mohan H, Suri S. Maxillofacial cysticercosis: uncommon appearance of a common disease. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2002; 21:199-202. [PMID: 11833875 DOI: 10.7863/jum.2002.21.2.199] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
OBJECTIVE To highlight the sonographic appearances of cysticercosis involving uncommon muscular sites. METHODS Two patients with nodular swelling involving the tongue and maxillary region were examined with high-resolution sonography. RESULTS Sonographic examination revealed an anechoic area with a small calcified scolex suggesting cysticercus infection. CONCLUSIONS High-resolution sonography is a noninvasive and nonionizing imaging modality that plays an important role in establishing the diagnosis of cysticercosis.
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Affiliation(s)
- Ravinder Sidhu
- Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Abstract
BACKGROUND Cysticercosis cellulosae rarely involves the oral region in humans. METHODS Six cases of oral cysticercosis were diagnosed, three each in lips and buccal mucosa. Diagnosis was made by characteristic gross and histopathologic appearances. RESULTS Of 146 cases of cysticercosis, 6 (4.1%) were of the oral cavity. All 6 cases were initially seen with painless swellings. Clinical differential diagnosis ranged from retention cyst, lipoma, fibroma, neurofibroma, and angular stomatitis. Histopathologic examination revealed cysticercus larvae. CONCLUSIONS The oral cavity is a rare site of involvement by cysticercosis, even in an endemic area. Histopathologic findings of the excised cyst are diagnostic of the lesion.
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Affiliation(s)
- S Nigam
- Department of Pathology, Maulana Azad Medical College, Bahadurshah Zafar Marg, C-367 Saraswati Vihar, Pitampura, Delhi, 34 India
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Saran RK, Rattan V, Rajwanshi A, Nijkawan R, Gupta SK. Cysticercosis of the oral cavity: report of five cases and a review of literature. Int J Paediatr Dent 1998; 8:273-8. [PMID: 9927929 DOI: 10.1046/j.1365-263x.1998.00090.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
This paper reports on five cases of cysticercosis of tongue and buccal mucosa, diagnosed on fine-needle aspiration cytology (FNAC), affecting child patients who presented between January 1994 and October 1997. Four cases presented with gradually increasing nodular swelling of the dorsum of tongue and in the fifth case the swelling was situated on the buccal mucosa of the left side. A clinical diagnosis of cysticercosis was not entertained in any of these patients, who each presented with a solitary lesion; instead, it was considered to be a benign cyst or benign tumour of salivary gland or mesenchymal tissue, before FNAC diagnosis. These lesions of the oral cavity may present first to a dentist and, in endemic areas, cysticercosis should be included in the differential diagnosis of solitary nodular lesions of the oral cavity, particularly in young individuals.
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Affiliation(s)
- R K Saran
- Department of Cytology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Affiliation(s)
- Subhash C. Gupta
- Department of Otolaryngology, M.L.N Medical College,
Allahabad, India
| | - Suresh C. Gupta
- Department of Pathology, M.L.N Medical College,
Allahabad, India
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Affiliation(s)
- R K Jain
- Department of Otolaryngology, Banaras Hindu University, Varanasi, India
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Mahindra S, Daljit R, Sohail MA, Maheshwari HB. Cysticercosis in the practice of otolaryngology. Acta Otolaryngol 1981; 92:189-91. [PMID: 7315251 DOI: 10.3109/00016488109133255] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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