|Year : 1966 | Volume
| Issue : 5 | Page : 227-228
Subconjunctival cysticercosis - report of a case
NK Patoria, RV Junnarkar
Department of Pathology & Bacteriology, Medical College, Nagpur, India
|Date of Web Publication||17-Jan-2008|
N K Patoria
Department of Pathology & Bacteriology, Medical College, Nagpur
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Patoria N K, Junnarkar R V. Subconjunctival cysticercosis - report of a case. Indian J Ophthalmol 1966;14:227-8
Larval encystment of Tenia Solium as tissue infestation is termed cysticercosis. Man is the definitive host of this worm though at times his tissues may become sites for this encystment. These cysts may remain symptomless or may manifest in many puzzling ways depending on the anatomical site. The common sites are the brain, subcutaneous tissue and the muscles. Majority of the reported cases are cerebral. [Gault and Balsubramanhyam (1948), Greenspan and Stevens (1961), Reddy (1951), Sainani and Saoji (1964)]. Conjunctiva is an uncommon site and this case which presented as a sub-conjunctival solitary cyst is reported from this point of view.
| Case Report|| |
Pramila, a Hindu female, aged 18 years, a vegetarian, complained of a painless small nodule on the medial side of the right eye ball of six months duration. The excised specimen consisted of an oval cyst 1 c.m. x ½ c.m. in size. Cut section showed clear fluid enclosing a whitish mass to the cyst wall. Histological section showed it to be cysticercus cellulose [Figure - 1]. The cyst was surrounded by a reaction of plasma cells, lymphocytes and few eosinophils.
| Comments|| |
Cysticercus cellulose may be encountered as a subconjunctival cyst in ophthalmic practice. In this case it was not suspected clinically. The cyst usually does not invite any complaints except for mechanical visual disturbance and may go unrecognised unless a histopathological examination is made.
This case is a strict vegetarian and the infestation seems to have occured through either contaminated vegetables or water with the ova of Tenia Solium-Faust and Russel (1957). Cases of cysticercosis in subcutaneous tissue and muscle in vegetarians have been included in a recent article by Vakil and Sirsat (1965). Human cysticercosis due to Tienia Saginata is an extremely rare condition. -- Chatterjee (1952).
Clinically a diagnosis of cysticercosis should always be kept in mind for a silent solitary subconjunctival cyst.
| Summary|| |
A case of subconjunctival cysticercosis is reported in a vegetarian.
| References|| |
Chatterjee. K. D. (1952): Human Parasites and parasitic diseases, page 657, K. D. Chatterjee, Calcutta. India.
Faust, E. C. and Russel, P. F. (1957): Clinical Parasitology, page 642, 6th Edition, Lea and Febiger.
Gault. E. W. and Balsubramanhyam, M. (1948): J. Path. Bact., 60, 505-506.
Greenspan. G. and Stevens, L. (1961): New Eng. J. Med. 264, 751-754.
Reddy, D. J. (1951): Ind. Med. Gaz., 86. 14-15.
Sainani, G. S. and Saoji, M. H. (1964): Ind. J. Med. Sc., 18. 330-333.
Vakil, V. V. and Sirsat. M. V. (1965): Ind. J. Med. Se.. 19, 668-669.
[Figure - 1]