RESUMO
Cysticercosis is a parasitic infection. It can involve any tissue in the body, the brain being the most common site. Intramuscular cysticercosis is rare, and few cases have been reported. Here, we are reporting a case of incidental finding of intramuscular cysticercosis in a 22-year-old male having a purely vegetarian diet presented with pain, swelling, and tingling sensation in the forearm without any other systemic involvement after taking Albendazole for unrelated reasons. Diagnosis of intramuscular cysticercosis remains a challenge and should be considered in the differential diagnosis of intramuscular swelling, especially in endemic areas.
RESUMO
The aim of this study is to bring attention to a unique case and our approach to treatment in this context. We describe a case of an 11-year-old male who presented to us with an injury to his left knee following trauma with pain, swelling, shortening and deformity for one day. An X-ray revealed a transepiphyseal fracture dislocation of the left distal femur (Salter-Harris type 1 injury) and neurovascular examination was conclusive of foot drop which pointed towards injury to common peroneal nerve (CPN). The patient was taken up for closed reduction with percutaneous pinning under mobile C-arm guidance. The fracture was reduced and fixed with two cross K-wires and immobilized with the above knee anterior-posterior slab for six weeks. The wires were removed after six weeks but there was no improvement in the dorsiflexion of the left ankle. An electromyography (EMG) and nerve conduction velocity (NCV) study test was performed after 12 weeks which showed decreased amplitude and prolonged latency in the left CPN with early denervation of the muscles supplied by the left CPN. Fifteen weeks of follow-up showed complete recovery in the dorsiflexion of the left ankle with a slight lag in the extension of the left great toe making this an unusually delayed recovery of CPN palsy following a distal femur transepiphyseal fracture.