An unusual presentation of cysticercosis as a chest wall mass: A case report

Cysticercosis is an infection caused by the tapeworm Taenia solium and most commonly affects the brain. Cysticercosis presenting as a chest wall mass is rare and can pose a diagnostic challenge. We report the case of a 4-year-old female child who presented with a 3-month history of a progressively increasing, painless swelling on the right lateral chest wall. Examination revealed a 2 × 3 cm, well-defined, cystic mass in the anterior axillary line. Ultrasound suggested a subcutaneous epidermoid cyst; however, histopathology showed the presence of scolices within the cyst, lined by giant cells, lymphocytes, and eosinophils, revealing the diagnosis of cysticercosis. The patient was treated with albendazole and is clinically stable. This case report highlights the importance of considering cysticercosis in the differential diagnosis of chest wall masses, particularly in endemic countries.

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Publication Details

Journal
IDCases
Published
2025-12-21
DOI
https://doi.org/10.1016/j.idcr.2025.e02474
Primary Topic
Parasitic infections in humans and animals
Type
article
Field-Weighted Citation Impact
0.00
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article

An unusual presentation of cysticercosis as a chest wall mass: A case report

IDCases
Parasitic infections in humans and animals
article

An unusual presentation of cysticercosis as a chest wall mass: A case report

article en

Abstract

Cysticercosis is an infection caused by the tapeworm Taenia solium and most commonly affects the brain. Cysticercosis presenting as a chest wall mass is rare and can pose a diagnostic challenge. We report the case of a 4-year-old female child who presented with a 3-month history of a progressively increasing, painless swelling on the right lateral chest wall. Examination revealed a 2 × 3 cm, well-defined, cystic mass in the anterior axillary line. Ultrasound suggested a subcutaneous epidermoid cyst; however, histopathology showed the presence of scolices within the cyst, lined by giant cells, lymphocytes, and eosinophils, revealing the diagnosis of cysticercosis. The patient was treated with albendazole and is clinically stable. This case report highlights the importance of considering cysticercosis in the differential diagnosis of chest wall masses, particularly in endemic countries.

IDCasesVol. 43
Bethany College - West Virginia (US), Mbarara University of Science and Technology (UG), Children's Specialized Hospital (US)
Openalex Percentile: Top 43%
Parasitic infections in humans and animals
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