1887

Abstract

Introduction. Correct diagnosis of peritoneal infectious disease can be extremely difficult due to non-specific clinical features. Thus, careful assessment with thorough histopathological work-up is essential. Here, we report the first case of human peritoneal cysticercosis mimicking peritoneal carcinosis.

Case presentation. The patient presented with recurring ascites and a tumour in the Douglas cavity accompanied by elevated tumour markers. There were no signs of systemic infection. On laparoscopy, the tumour was resected completely. Histology revealed a granulomatous reaction and a diagnosis suspicious of tuberculosis was made. Only after additional sections, avital cestode-fragments were visible and Taenia martis DNA was detected. Further staging by computerized tomography scan of the lung and brain turned out negative and the patient recovered quickly.

Conclusion. Laparoscopy and histopathological examination can be extremely helpful for correct diagnosis and management in uncertain recurrent ascites. This case clearly demonstrates that orphan infectious diseases should also be considered. Only complete histopathological examination with serial sections and additional molecular testing can lead to the appropriate diagnosis.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.005097
2017-06-08
2019-10-22
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/4/6/jmmcr005097.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.005097&mimeType=html&fmt=ahah

References

  1. von Nickisch-Rosenegk M, Lucius R, Loos-Frank B. Contributions to the phylogeny of the Cyclophyllidea (Cestoda) inferred from mitochondrial 12S rDNA. J Mol Evol 1999;48:586–596 [CrossRef][PubMed]
    [Google Scholar]
  2. Liu Q, Zhang Q, Guan Q, Xu JF, Shi QL. Abdominopelvic tuberculosis mimicking advanced ovarian cancer and pelvic inflammatory disease: a series of 28 female cases. Arch Gynecol Obstet 2014;289:623–629 [CrossRef][PubMed]
    [Google Scholar]
  3. Ribas A, Torre I, Feliu C, Arrizabalaga A, Casanova JC. Helminth communities of the bank vole myodes glareolus in two populations: Montsenyu natural park and pi. Rev Ibero-Latinoam Parasitol Int 2009;1:73–81
    [Google Scholar]
  4. Mathy A, Hanosset R, Adant S, Losson B. The carriage of larval Echinococcus multilocularis and other cestodes by the musk rat (Ondatra zibethicus) along the Ourthe River and its tributaries (Belgium). J Wildl Dis 2009;45:279–287 [CrossRef][PubMed]
    [Google Scholar]
  5. Reperant LA, Hegglin D, Tanner I, Fischer C, Deplazes P. Rodents as shared indicators for zoonotic parasites of carnivores in urban environments. Parasitology 2009;136:329–337 [CrossRef][PubMed]
    [Google Scholar]
  6. Brunet J, Benoilid A, Kremer S, Dalvit C, Lefebvre N et al. First case of human cerebral Taenia martis cysticercosis. J Clin Microbiol 2015;53:2756–2759 [CrossRef][PubMed]
    [Google Scholar]
  7. Eberwein P, Haeupler A, Kuepper F, Wagner D, Kern WV et al. Human infection with marten tapeworm. Emerg Infect Dis 2013;19:1152–1154 [CrossRef][PubMed]
    [Google Scholar]
  8. Koch T, Schoen C, Muntau B, Addo M, Ostertag H et al. Molecular diagnosis of human Taenia martis eye infection. Am J Trop Med Hyg 2016;94:1055–1057 [CrossRef][PubMed]
    [Google Scholar]
  9. Brunet J, Pesson B, Chermette R, Regnard P, Grimm F et al. First case of peritoneal cysticercosis in a non-human primate host (Macaca tonkeana) due to Taenia martis. Parasit Vectors 2014;7:422 [CrossRef][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.005097
Loading
/content/journal/jmmcr/10.1099/jmmcr.0.005097
Loading

Data & Media loading...

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error