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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Abstract 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.
AbstractList 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.
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 coexist ing surgical history. KCI Citation Count: 0
Author Jaeho Cho
조재호
Otgonsaikhan Nomkhondorj
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DocumentTitleAlternate Rare Case of Sparganosis Misdiagnosed as Deep Vein Thrombosis after Total Ankle Arthroplasty: A Case Report
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Venous thrombosis
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Parasitic diseases
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Title 발목 인공관절 치환술 후 심부정맥혈전증으로 오인된 스파르가눔증: 증례 보고
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