Myocysticercosis Presenting as Incomplete Claw Hand: A Rare Presentation of Cysticercus
Correspondence Address :
Jyoti Gulati,
Junior Resident, Department of Paediatrics, Faculty of Medical and Health Sciences, SGT Medical College and Hospital, SGT University, Gurugram, Haryana, India.
E-mail: jyoti.gulati.94@gmail.com
Human cysticercosis is an infection with the larval form of Taenia solium that commonly involves the central nervous system. Due to the infection, isolated muscular involvement is rare, and very few cases have been reported in the literature. Hereby, the authors present a rare instance of isolated muscular cysticercosis in a 15-year-old girl, resulting in an incomplete claw hand due to the compression of both the ulnar and median nerves. The patient had been experiencing swelling on the anterior aspect of her left forearm for eight months, with recent aggravation. The swelling was gradually followed by an inability to fully extend the middle and ring fingers for the past six months. The patient’s laboratory results were within normal limits, and ultrasound and Magnetic Resonance Imaging (MRI) of the forearm confirmed the presence of cysticercosis. The treatment plan included a course of oral steroids and antihelminthic drugs, along with physiotherapy. In present case, the patient’s condition significantly improved with conservative management. The present case illustrates the diagnostic challenges due to the vague clinical presentation and unfamiliarity of clinicians with present entity, making it difficult to diagnose when seen as an isolated cyst. The unique manifestations of muscular cysticercosis emphasise the importance of early detection and proper management.
Median nerve, Muscular cysticercosis, Nerve compression, Taenia solium
DOI: 10.7860/JCDR/2024/66933.19198
Date of Submission: Aug 09, 2023
Date of Peer Review: Oct 10, 2023
Date of Acceptance: Dec 21, 2023
Date of Publishing: Mar 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Aug 11, 2023
• Manual Googling: Oct 13, 2023
• iThenticate Software: Dec 18, 2023 (9%)
ETYMOLOGY: Author Origin
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