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CORRESPONDENCE
Year : 2012  |  Volume : 136  |  Issue : 4  |  Page : 678-679

Authors' response


Department of Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati 517 507, India

Date of Web Publication8-Nov-2012

Correspondence Address:
Alladi Mohan
Department of Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati 517 507
India
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Source of Support: None, Conflict of Interest: None


PMID: 23168713

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How to cite this article:
Kumar B S, Mohan A. Authors' response. Indian J Med Res 2012;136:678-9

How to cite this URL:
Kumar B S, Mohan A. Authors' response. Indian J Med Res [serial online] 2012 [cited 2019 Aug 25];136:678-9. Available from: http://www.ijmr.org.in/text.asp?2012/136/4/678/103285

Sir,

We thank Wiwanitkit [1] for his observations on our clinical image [2] . Sparganosis is extremely rare in India [3] . In areas where the disease is highly endemic, sparganosis should also be considered in the differential diagnosis of subcutaneous swellings [4] . However, subcutaneous sparganosis is clinically indistinguishable from subcutaneous cysticercosis and histopathological confirmation is required for differentiating these conditions. In our patient, excision biopsy and histopathological examination confirmed the diagnosis. Pre-operative diagnosis of sparganosis is seldom made and the diagnosis of subcutaneous sparganosis becomes evident following surgical excision and histopathological examination. There is no effective medical treatment available for sparganosis and complete excision is curative [4] . External and internal autoinfections have also been hypothesized as possible mechanisms of causation of human cysticercosis. When hygienic standards are poor, hand washing after defecation and before eating food are not scrupulously followed, faecal-oral infection with Taenia solium eggs (external autoinfection) can occur in persons with intestinal taeniasis. In humans, the possibility of infection with Taenia solium eggs through reverse peristalisis (internal autoinfection) is considered to be controversial and merits further study [5] .

 
   References Top

1.Wiwanitkit V. Subcutaneous cysticercosis identified in chest radiography. Indian J Med Res 2012; 136 : 678-9.   Back to cited text no. 1
    
2.Kumar BS, Mohan A. Subcutaneous cysticercosis. Indian J Med Res 2012; 136 : 102.  Back to cited text no. 2
[PUBMED]    
3.Duggal S, Mahajan RK, Duggal N, Hans C. Case of sparganosis: a diagnostic dilemma. Indian J Med Microbiol 2011; 29 : 183-6.  Back to cited text no. 3
[PUBMED]    
4.Chang JH, Lin OS, Yeh KT. Subcutaneous sparganosis - a case report and a review of human sparganosis in Taiwan. Kaohsiung J Med Sci 1999; 15 : 567-71.  Back to cited text no. 4
[PUBMED]    
5.Pawlowski ZS. Taenia solium: basic biology and transmission. In: Singh G, Prabhakar S, editors. Taenia solium cysticercosis. From basic to clinical science. Wallingford, UK: CABI Publishing; 2002. p. 10.  Back to cited text no. 5
    




 

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