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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Vydané v:대한족부족관절학회지 Ročník 29; číslo 3; s. 121 - 124
Hlavní autori: 조재호, Otgonsaikhan Nomkhondorj, Jaeho Cho
Médium: Journal Article
Jazyk:English
Korean
Vydavateľské údaje: 대한족부족관절학회 01.09.2025
Predmet:
정형외과학
Sparganosis
Venous thrombosis
Arthroplasty
Parasitic diseases
ISSN:1738-3757, 2288-8551
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Popis
Shrnutí: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.
Bibliografia:KISTI1.1003/JNL.JAKO202527436051879
ISSN:1738-3757
2288-8551
DOI:10.14193/jkfas.2025.29.3.121