Juvenile Strobilate Tapeworm from the Human Spinal Cord

Report of a Case

Vichai Bamrungphol Departments of Surgery and Medicine, Siriaj Hospital Medical School, Department of Tropical Medicine and Parasitology, School of Public Health and Tropical Medicine, Tulane University, Bangkok, Thailand

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M. D. Little Departments of Surgery and Medicine, Siriaj Hospital Medical School, Department of Tropical Medicine and Parasitology, School of Public Health and Tropical Medicine, Tulane University, Bangkok, Thailand

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Adulya Virayavejakul Departments of Surgery and Medicine, Siriaj Hospital Medical School, Department of Tropical Medicine and Parasitology, School of Public Health and Tropical Medicine, Tulane University, Bangkok, Thailand

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Manit Sujtanond Departments of Surgery and Medicine, Siriaj Hospital Medical School, Department of Tropical Medicine and Parasitology, School of Public Health and Tropical Medicine, Tulane University, Bangkok, Thailand

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Vichitr Chaiyaporn Departments of Surgery and Medicine, Siriaj Hospital Medical School, Department of Tropical Medicine and Parasitology, School of Public Health and Tropical Medicine, Tulane University, Bangkok, Thailand

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A juvenile strobilate tapeworm was found in the spinal cord of a young man from Thailand who had suffered from paraplegia for several months. The recovered worm was 76 mm long and its scolex had four muscular suckers and a rostellum with hooks. Reproductive organs were not present in any of the more than 300 segments but a genital primordium was present in many. The immature state of the worm and the loss of many of the hooks from the scolex make its specific identification impossible, but it probably belongs to the family Taeniidae. Apparently this is only the second case in which a strobilate form of a tapeworm has been found in the extraintestinal tissues of man.

Author Notes

Department of Surgery, Siriraj Hospital Medical School.

Department of Tropical Medicine and Parasitology, Tulane School of Public Health and Tropical Medicine.

Department of Pathology, Siriraj Hospital Medical School.

Department of Parasitology, Siriraj Hospital Medical School.

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