Abstract

Cysticercosis caused by Taenia solium is a helminthic infection. It usually resides in animals and humans to complete its life cycle and cause the disease within it. Cysticercosis in humans is acquired by ingestion of eggs or its larvae form. It is caused due to improper sanitation, fecal ingestion by the pigs which is infected with larvae of cysticercus, improper vaccination of pigs and ingestion of raw or uncooked pork and meat by the humans. Most commonly it involves the brain, heart, liver, muscles, lungs and the peritoneal cavity. When there is involvement of the mouth, frequently occurring sites include the tongue, buccal mucosa and rarely floor of mouth. Likewise, most commonly, the skeletal muscle involvement is noted.
 It is usually diagnosed by radiological and pathological investigations. Radiologically, USG and MRI characteristically reveals the lesion caused by cysticercosis. Pathologically, the biopsy done of the affected area shows the inhabited cysticercus along with its causative changes in the tissue like edema, congestion and infiltration of Inflammatory infiltrates. Being a parasitic infestation, eosinophilic infiltration around the membrane of cysticercus is commonly noted in the biopsy. This is the presentation of the case report, where there is an occurrence of Cysticercosis in the muscles of cheek, a site with rare occurrence.

Highlights

  • Taenia solium, causing the parasitic infection in the tissues, is usually named as Cysticercosis

  • Cysticercosis majorly manifest via ingestion of Undercooked food, contaminated food and water or adulterated eatable substances containing eggs of tapeworm from the human faeces [2]

  • We have stressed the necessity of extensive knowledge on histological examination in the diagnosis of cysticercosis of cheek in this case report [3]

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Summary

INTRODUCTION

Taenia solium (a helminth), causing the parasitic infection in the tissues, is usually named as Cysticercosis. Metacestode, is the main causative agent which may progressively grow upto 8 meters in length in its adult stage and further leading to its invasion into the tissues of human and pig [1] It is posing a major public health issue in developing countries like India, Indonesia, China, Africa and Peru due to the scarcity in proper sanitation hygiene. In an involvement of mouth, it usually affects the tongue, labial or buccal mucosa and in rare situations, the floor of mouth. Cheek muscle involvement is hardly mentioned anywhere in the literature. We have stressed the necessity of extensive knowledge on histological examination in the diagnosis of cysticercosis of cheek in this case report [3]

CASE REPORT
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