Sparganosis presenting as a lateral neck mass

Head Neck. 2003 Jan;25(1):74-6. doi: 10.1002/hed.10158.

Abstract

Background: Cervical sparganosis is rare, and its rarity makes it difficult to be distinguished from tumors. A case of cervical sparganosis is reported.

Methods and results: An 80-year-old man was initially seen with a painless lateral neck mass for 3 months, which was initially diagnosed as cervical lymphadenopathy. Laboratory studies revealed eosinophilia, and the patient recalled that he had frequently taken mountain water. Serologic study of human sparganosis by a monoclonal antibody-based competition enzyme-linked immunosorbent assay (ELISA) was positive. Surgical excision was performed, and the sparganosis was confirmed by histologic examination.

Conclusions: Sparganosis should be considered in the differential diagnosis of soft tissue tumors, especially among patients who have frequently ingested mountain water and consumed raw snakes or frogs.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cervical Vertebrae / parasitology*
  • Diagnosis, Differential
  • Eosinophilia / parasitology
  • Humans
  • Lymphatic Diseases / diagnosis
  • Male
  • Neck / pathology*
  • Sparganosis / diagnosis*
  • Water Supply