ABSTRACT
Human sparganosis is a cestode infection which is neglected as a differential diagnosis outside endemic countries. Diagnosis and therapy may be challenging depending on the clinical presentation and anatomic localization. The disease manifests predominantly as subcutaneous nodule(s) or intracranial mass lesion(s). Infection is primarily acquired by ingesting raw or undercooked amphibian or reptile flesh or by drinking water containing copepods. We report an unusual case of subcutaneous Spirometra erinaceieuropaei sparganosis presenting with two nonmigratory nodules in close proximity to each other on the right thigh of a Thai woman living in Switzerland.
Subject(s)
Emigrants and Immigrants , Sparganosis/diagnosis , Sparganosis/pathology , Spirometra/isolation & purification , Subcutaneous Tissue/parasitology , Animals , Base Sequence , DNA, Helminth/genetics , Female , Humans , Middle Aged , Sparganosis/epidemiology , Sparganosis/surgery , Spirometra/genetics , Switzerland , Thailand/epidemiologyABSTRACT
Two HIV-positive male patients with a rarely documented form of genital herpes are described. In both cases the atypical clinical presentation suggested neoplastic rather than infectious lesions. This tumorous genital herpes may occur in HIV-infected patients while on antiretroviral therapy. Since therapeutic failure to nucleoside analogues is common in these cases even in the absence of phenotypical resistance, other treatment options are discussed.
