The Silent Swell: A Rare Case of Isolated Myocysticercosis in the Muscles of Mastication
摘要
Cysticercosis, caused by the larval stage of Taenia solium, typically affects the brain and skeletal muscle. Poor sanitation leading to environmental faecal contamination is a major factor in transmission. Cysticercosis mainly affects low- and middle-income countries in Africa, Asia (e.g., India, China, and Nepal) and Latin America (e.g., Guatemala, Nicaragua, El Salvador). We report a case of isolated myocysticercosis of unilateral muscles of mastication in a 14-year-old male who presented with a painless swelling over the left cheek. Imaging revealed a cystic lesion with a central scolex within the masseter and temporalis extending to infratemporal fossa. The patient responded well to surgical removal of the isolated cyst. Although rare, isolated myocysticercosis should be considered in the differential diagnosis of soft tissue swellings in endemic areas. Early diagnosis and treatment are crucial to prevent potential complications, such as the cysts growing larger or causing neurological problems if they migrate to the brain (neurocysticercosis). While medical management is often effective for myocysticercosis, surgical intervention becomes essential in large, deep-seated, or diagnostically ambiguous lesions to achieve definitive treatment, establish accurate diagnosis, and prevent compressive complications.†