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NJBMS - Volume 1, Issue 3, January - March 2011

Pages: 163-165
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WRAPPING UP THE YEAR 2009-2010 - A COLLECTION OF RARE CASES AND UNCOMMON ETIOLOGICAL AGENTS

Author: S. Suguna Hemachander, C. Srilatha, B. Anuradha

Category: Microbiology

Abstract:

The year 2009-2010 gave us five memorable clinical cases which were rare and two of them had uncommon etiological agents. 1). A female developed a sensation of worms crawling in her mouth and throat, ten days after taking 'live fish medicine' given orally for her asthma. An intestinal fluke (Genus Echinostoma) was collected from her posterior pharyngeal wall. Eggs of the fluke were detected in her stool. 2). Black lesions developing on the eyelid overnight, 'ticks' were the culprits. 3). A small subcutaneous cyst considered as a sebaceous cyst turned out to be a hydatid cyst. 4). Fluid from a hepatic hydatid cyst instead of hydatid sand and protoscolices showed well developed worm with popped up scolex and segments, which is rare. 5). A paralytic disease with presentation of food – poisoning affecting three members of a family –? Food borne botulism.

Keywords: Echinostoma, ticks, scolex.