Cysticercosis cellulosae cutis: A forgotten entity
Cysticercosis cellulosa cutis is caused by larval stage of Taenia solium. It most commonly affects central nervous system, muscle, and subcutaneous tissue. Here, we report a case of 70-year-old female who was misdiagnosed on ultrasound as abscess and was treated with no improvement. Later, she was diagnosed on FNAC as cutaneous cysticercosis.

A 70-year-old female patient presented with multiple swellings of 4 months duration over chest, abdomen, and right hand. The lesion started as single small swelling over the right side of abdomen which gradually increased in size and number involving other areas within 4 months. On examination, multiple skin colored, firm, nontender, mobile subcutaneous nodules---10 in number varying in size from 1 to 5 cm diameter were present.

Eosinophil count was high. Ultrasound and CT abdomen done outside showed abscess. Repeat ultrasound showed multiple oval hyperechoic with central anechoic regions and some fluid-filled cavities suggestive of cutaneous cysticercosis. FNAC was done which showed scolex, hook, cyst with surrounding fluid cavity and cyst macrophages confirming cysticercosis. Retrospective history revealed eating of pork 7 years ago. Patient was started on oral albendazole 400 mg thrice daily with which there was significant resolution of lesions.

Source: Indian dermatology online journal

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