It’s Even Here! Two Rare Cases of Pyriformis Myocysticercus

Authors

  • Mahesh Prakash Department of Radiodiagnosis & Imaging, Post graduate institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
  • Pankaj Gupta Department of Radiodiagnosis & Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
  • Ajay Gulati Department of Radiodiagnosis & Imaging, Post graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
  • Niranjan Khandelwal Department of Radiodiagnosis & Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.

DOI:

https://doi.org/10.31729/jnma.2835

Keywords:

magnetic resonance imaging, myocysticercosis; pyriformis; ultrasound.

Abstract

Cysticercus, the larval form of Taenia Solium, a tapeworm, can infest various tissues in the human body. Though central nervous system involvement is the most dramatic form of infestation, several other uncommon sites of has been reported in the literature. One such involvement is that of the musculature. The most easily recalled manifestation of myocysticercus is that in the orbit where the patients present with painful proptosis. However, other less common muscular sites of involvement are documented in case reports. To the best of our knowledge, there are no documented cases of pyriformis muscle infestation with cysticercus. We came across two interesting cases, where imaging established the diagnosis of isolated pyriformis cysticercosis. Follow up after one month of anti-elminthic treatment imaging revealed disappearance of the lesions. 
Keywords: magnetic resonance imaging,myocysticercosis; pyriformis; ultrasound. | PubMed

References

Ramraje S, Bhatia V, Goel A. Solitary intramuscular
cysticercosis: A report of two cases. AMJ. 2011;4:58-60.
2. Sethi PK, Sethi NK, Torgovnick J, Arsura E. Cysticercosis of
temporalis muscle: an unusual cause of temporal headaches.
A case report, J Headache Pain. 2007;8:315-6.
3. Sharma R, Gautam P, Kumar S, Elhence P, Bansal R, Gupta
G. Isolated Cysticercosis Cellulosae of Sternocleidomastoid
Muscle: A Case Report with Review of Literature. Indian J
Otolaryngol Head Neck Surg. 2011;63:127–30.
4. Tripathy SK, Sen R K, Sudes P, Dhatt S. Solitary cysticercosis
of deltoid muscle in a child: The diagnostic dilemma and
case report. J Orthopaedics. 2009;6:11.
5. Kumar R, Singh V, Rastogi A. Cysticercosis of temporalis
muscle: a case report. J Ped Neurol. 2005;3:269-70.
6. Wong CH, Choi SH, Wong Y. Piriformis pyomyositis:
a report of three cases. Journal of Orthopaedic Surgery.
2008;16(3):389-91.
7. Abdelwahab IF, Klein MJ, Hermann G, Abdul-Quader M.
Solitary cysticercosis of the biceps brachii in a vegetarian:
a rare and unusual pseudotumor. Skeletal Radiol.
2003;32:424–8.
8. Ergen FB, Turkbey B, Kerimoglu U, Karaman K, Yorganc
K, Saglam A. Solitary cysticercosis in the intermuscular
area of the thigh: a rare and unusual pseudotumor with
characteristic imaging findings. J Comput Assist Tomogr.
2005;29:260–3.
9. McGrill RJ. Cysticercosis resembling myopathy. Lancet.
1948;6:728–30.
10. Sawhney BB, Chopra JS, Banerji AK, Wahi PK.
Pseudohypertrophic myopathy in cysticercosis. Neurology.
1976;26:270–2.

Downloads

Published

2016-10-31

How to Cite

Prakash, M., Gupta, P., Gulati, A., & Khandelwal, N. (2016). It’s Even Here! Two Rare Cases of Pyriformis Myocysticercus. Journal of Nepal Medical Association, 55(203), 29–32. https://doi.org/10.31729/jnma.2835

Issue

Section

Case Reports