Muscular Cysticercosis: An Incidental Finding in the Developed World.

JBJS Case Connector
Miguel Relvas-SilvaAntónio Nogueira Sousa

Abstract

We present a case of muscular cysticercosis incidentally diagnosed in a patient admitted for a femoral neck fracture and submitted to total hip arthroplasty. Human cysticercosis is a parasitic infection representing a major health concern in developing countries. The clinical features are variable and depend on the anatomic location, cyst burden, cysticerci stage, and host inflammatory response. Diagnosis is commonly incidental, and prompt pattern recognition is key to diagnosis, adequate referral, and treatment. This is one of the first reports of hip arthroplasty in a patient with a history of parasitic infection (without the need for directed pathogen treatment).

References

Aug 8, 2013·PloS One·Lorenzo ZammarchiUNKNOWN COHEMI Project Study Group
May 9, 2014·The American Journal of Tropical Medicine and Hygiene·Paul T CanteyTheodore E Nash
Jan 6, 2017·Journal of Clinical Orthopaedics and Trauma·Durgashankar MeenaRajendra Kumar Arya
Feb 27, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A Clinton WhiteTheodore E Nash
Dec 12, 2018·Acta Tropica·Rebecca Paul WekaEric R Morgan

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