Disseminated muscular cysticercosis

Case contributed by Dr Elias Bajotto Adaime

Presentation

Left lower limb pain.

Patient Data

Age: 85 years
Gender: Female

Computed tomography angiography (CTA) of the abdominal aorta and lower extremities shows arterial atherosclerotic disease with left distal femoral occlusion.

As an incidental finding, there are several well delineated oblong “rice-grain” like calcifications, distributed diffusely through subcutaneous and myofascial tissues, parallel to muscle fibers, compatible with disseminated muscular cysticercosis.

Case Discussion

The patient was complaining of lower left limb pain and intermittent claudication, due to left distal femoral artery occlusion, as shown on CTA.

After direct questioning, a history of uninspected pig meat ingestion was found, explaining the multiple soft tissue calcified lesions discovered on CT, compatible with disseminated muscular cysticercosis.

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Case information

rID: 52027
Case created: 18th Mar 2017
Last edited: 28th Jun 2017
Inclusion in quiz mode: Included

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