Indian Journal of Medical Research

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

Authors' response


B Siddhartha Kumar, Alladi Mohan 
 Department of Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati 517 507, India

Correspondence Address:
Alladi Mohan
Department of Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati 517 507
India




How to cite this article:
Kumar B S, Mohan A. Authors' response.Indian J Med Res 2012;136:678-679


How to cite this URL:
Kumar B S, Mohan A. Authors' response. Indian J Med Res [serial online] 2012 [cited 2019 Sep 20 ];136:678-679
Available from: http://www.ijmr.org.in/text.asp?2012/136/4/678/103285


Full Text

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

1Wiwanitkit V. Subcutaneous cysticercosis identified in chest radiography. Indian J Med Res 2012; 136 : 678-9.
2Kumar BS, Mohan A. Subcutaneous cysticercosis. Indian J Med Res 2012; 136 : 102.
3Duggal S, Mahajan RK, Duggal N, Hans C. Case of sparganosis: a diagnostic dilemma. Indian J Med Microbiol 2011; 29 : 183-6.
4Chang 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.
5Pawlowski 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.