Solitary Head and Neck Cysticercosis: A Series of Rare Cases

Document Type: Case Report

Authors

1 Department of Otorhinolaryngology, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, India

2 Department of Pathology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.

Abstract

Introduction:
Cysticercosis is a disease which is caused by the infestation of the larvae Taenia solium, with humans acting as an intermediate host instead of a definitive host. Head and neck involvement including maxillofacial and oral involvement of cysticercosis is quite rare.
 Case Report:
We report a series of rare cases of cysticercosis of the head and neck region encountered in a tertiary hospital in Northern India with a brief review of literature and its diagnosis and management. The patients had undergone ultrasonography, FNAC and CT scan. All the cases were treated by Oral Albendazole tablets. The period of study was from August 2014 to August 2015. FNAC proved to be a highly effective way of diagnosis corroborated by imaging evidence. Treatment with albendazole was curative in all the cases.
 
Conclusions:
Cytopathology has emerged as an excellent diagnostic modality for cysticercosis. Medical treatment with antihelminthics produces excellent results, as illustrated in our case, and can eliminate the need of surgery.

Keywords

Main Subjects


1. S. Lustigman, R. K. Prichard, A. Gazzinelli, W. N. Grant, B. A. Boatin, J. S. McCarthy and M. G. Basáñez, “A Re- search Agenda for Helminth Diseases of Humans: The Problem of Helminthiases,” PLoS Neglected Tropical Diseases, Vol. 6, No. 4, 2012, p. e1582. doi: 10. 1371/journal.pntd.0001582.

2. Longo et al. Harrison’s Principle of Internal Medicine  (2014 Reprint), McGraw-hill companies, inc.

3. Tiecke, R. W. (1965) Oral Pathology, McGraw-Hill Book Co Inc: New York, p 587-90.

4. World Health Organization Expert Committee, Report of the WHO Expert Consultation on Foodborne Trematode Infections and Taeniasis/Cysticercosis, Vientiane, Lao People’s Democratic Republic, 12-16 October 2009. http://www.who.int/neglected_diseases/preventive_chemotherapy/WHO_HTM_NTD_PCT_2011.3.pdf

5. Timosca, G. and Gavrilita, L. Cysticercosis of maxillo-facial region. Oral Surgery, Oral Medicine, Oral Pathology,1974; 37: 390-400.

6. Jain R.K., Gupta O.P., Aryya N.C. Cysticercosis of the tongue. Journal of Laryngology and Otology 1989; 103:1227-28.

7. F. M. Elias, M. T. Martins, R. Foronda, W. A. Jorge and N. S. de Araújo, “Oral Cysticercosis: Case Report and Re- view of the Literature,” Revista do Instituto de Medicina Tropical de São Paulo, 2005; 47: 95-8.

8. D. Mahajan, N. Khurana and N. Setia, “Coexistence of Salivary Gland Cysticercosis with Squamous Cell Carcinoma of the Mandible,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2007, 103:47-50.

9. S. Neelaiah, S. Neha, C. Qutubuddin, and A. Kalaivani, “Fine needle aspiration cytology of cysticercosis,” Acta Cytologica, 2010; 54:103–105.

10. Saran RK, Ratan V, Rajwansi A, Nijkwan R, Gupta SK. Cysticercosis of oral cavity: Report of five cases and a review of literature. Int J Paediat Dent 1988;8:273-78.

11. Kamal MM, Grover SV. Cytomorphology of subcutaneous cysticercosis: a report of 10 cases. Acta Cytologica. 1995;39(4):809–12.

  12. Nigam S, Singh T, Mishra A, Chaturvedi KU. Oral cysticercosis—report of six cases. Head and Neck. 2001;23(6):497–9.

13. Arora VK, Gupta K, Singh N, Bhatia A. Cytomorphologic panorama of cysticercosis on fine needle aspiration: a review of 298 cases. Acta Cytologica. 1994;38(3):377–80

14. Singh N, Arora VK, Bhatia A. Are all subcutaneous parasitic cysts cysticercosis? Acta Cytologica. 2006;50(1):114–15.

15.. Rastogi S, Arora P, Devi P, Wazir SS, Kapoor S. Importance of ultrasonography and magnetic resonance imaging in diagnosis of cysticercosis of temporalis muscle mimicking temporal space infection. Contemporary Clinical Dentistry. 2013; 4(4):504-8.

16. Pandey S C, Pandey S D. Lingual cysticercosis. Indian J Plast Surg 2005;38:160-1.

17. Pushker N, Bajaj M S, Chandra M, Neena. Ocular and orbital cysticercosis. Acta Ophthalmologica Scandinavica 2001:79(4):408-3.