발목 인공관절 치환술 후 심부정맥혈전증으로 오인된 스파르가눔증: 증례 보고

Sparganosis is a rare parasitic infection caused by the plerocercoid larvae of the Spirometra species. It can present as nonspecific calf pain and swelling, often mimicking deep vein thrombosis (DVT), especially in postoperative patients. This paper reports a case of a 78-year-old male with a histor...

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Veröffentlicht in:대한족부족관절학회지 Jg. 29; H. 3; S. 121 - 124
Hauptverfasser: 조재호, Otgonsaikhan Nomkhondorj, Jaeho Cho
Format: Journal Article
Sprache:Englisch
Koreanisch
Veröffentlicht: 대한족부족관절학회 01.09.2025
Schlagworte:
정형외과학
Sparganosis
Venous thrombosis
Arthroplasty
Parasitic diseases
ISSN:1738-3757, 2288-8551
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Zusammenfassung:Sparganosis is a rare parasitic infection caused by the plerocercoid larvae of the Spirometra species. It can present as nonspecific calf pain and swelling, often mimicking deep vein thrombosis (DVT), especially in postoperative patients. This paper reports a case of a 78-year-old male with a history of total ankle arthroplasty who presented with recurrent calf pain and swelling. The initial clinical evaluation raised suspicion for DVT, and Doppler ultrasound was performed. Imaging revealed a hypoechoic, serpiginous structure suggestive of a parasitic infection. Surgical exploration confirmed sparganosis through the removal of the larvae. The patient's symptoms resolved completely after the procedure. This case highlights the need to consider sparganosis in the differential diagnosis of unexplained calf symptoms, particularly in patients with potential exposure to endemic areas or sources of a parasitic infection, regardless of the coexisting surgical history.
Bibliographie:KISTI1.1003/JNL.JAKO202527436051879
ISSN:1738-3757
2288-8551
DOI:10.14193/jkfas.2025.29.3.121