Isolated Sternocleidomastoid Cysticercosis—Insights of Diagnosis and Treatment Planning: A Case Report

JOURNAL TITLE: Journal of Medical Academics

Author
1. Shubhankar Tiwari
2. Manjeera Pathri
3. Rohit Bhardwaj
4. Biswajit Das
5. Ashwani Sethi
ISSN
DOI
10.5005/jp-journals-11003-0117
Volume
5
Issue
1-2
Publishing Year
2022
Pages
3
Author Affiliations
    1. Department of ENT & Head and Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi Cantt, Delhi, India
    1. Department of Otorhinolaryngology, Army College of Medical Sciences, New Delhi, India
    1. Shri Ramachandra Bhanj Medical College and Hospital, Cuttack, Odisha, India
    1. Department of ENT & Head and Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi Cantt, Delhi, India
    1. Department of ENT & Head and Neck Surgery, Army College of Medical Sciences and Base Hospital, Delhi Cantt, Delhi, India
  • Article keywords
    Helminthic diseases, Myocysticercosis, Neurocysticercosis, Sternocleidomastoid, Taenia saginata

    Abstract

    Introduction: Taeniasis is a condition when humans (definitive host) are infected with adult tapeworms in the intestine whereas cysticercosis is infection with larval forms (i.e., Cysticercus cellulosae). Case description: We present a rare case of isolated sternocleidomastoid muscle cysticercosis which was diagnosed with help of USG and treated successfully by pharmacotherapy (albendazole and steroids). Discussion: The cysticercous larva enters the circulatory system by penetrating and crossing the bowl wall. Through blood stream these larvae migrate to sites of lodgement which includes brain (most common), skeletal muscles, eyes, liver and subcutaneous tissues. Conclusion: Isolated muscle involvement is not common and thus often presenting as isolated asymptomatic swelling, it poses challenges in diagnosis.

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