Isolated lingual cysticerscosis: a rare case report


  • Pradeep Rajbhandari Department of ENT & Head and Neck Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre
  • Bijaya Kumar Shrestha Metro Kathmandu Hospital Pvt. Ltd., Maharajganj, Kathmandu
  • Roshani Shrestha Gorkha Community Dental Hospital and Research Centre, Gorkha



Cysticercosis, Lingual, Oral cavity, Taenia solium


Taenia solium completes its life cycle in two hosts. Generally, cysticercosis results from accidental ingestion of the eggs of taenia solium through faeco‐oral contamination or autoinfection cysticercosis is commonly found in muscular and subcutaneous tissues. Central nervous system and eye are commonly affected. Despite abundant intermuscular tissue in oral cavity, it is uncommon site for cysticercosis because of high muscular activity and metabolic rate of oral tissues. We present a case of a 21-year-old male, presented with painless solitary swelling in the ventral aspect of tip of tongue at the centre. Excision of the swelling was done followed by histopathological examination. The histopathological examination revealed cysticercosis cellulosae in tongue musculature. Histopathological picture showed cysticercus larva surrounded by a double layered membrane. The patient was given albendazole 200 mg TDS for 30 days. One-year follow-up showed no signs of recurrence. Lingual cysticercosis usually presents as diagnostic dilemma. Complete excision along with histopathological examination is diagnostic. Infestation in this region is relatively mild as compared to ocular or neurocysticercosis. However, the patients should be examined thoroughly and followed up for possible concurrent ophthalmologic and neurologic involvements as well.  


Metrics Loading ...


Gill M, Dua S, Gill P, Gupta V, Gupta S, Sen R. Cytomorphological spectrum of subcutaneous and intramuscular cysticercosis: a study of 22 cases. J Cytol. 2010;27:123-6.

Mukesh S, Kacker SK, Kapilla K. Cysticercosis of the oral cavity- A clinicopathological study of ten and a half years. J Ind Dent Asso. 1986;58:257-9.

Romero De Leon E, Aguirre A. Oral cysticercosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:572-7.

Lustmann J, Copelyn M. Oral cysticercosis: Review of literature and report of two cases. Int J Oral Surg. 1981;10:371-5.

Prasad KN, Prasad A, Gupta RK, Pandey CM, Uttam S. Prevalence and associated risk factors of T. solium taeniasis in a rural pig farming community of North India. Trans R Soc Trop Med Hyg. 2007;101:1241-7.

Bhandary S, Singh R, Karki P, Sinha AK. Cysticercosis of tongue-diagnostic dilemma. Pac Heal Dialog. 2004;11:87-8.

Lee KH, Cepeda L, Miller M, Siegel DM. Mucoceles not- Oral cysticercosis and minor salivary gland adenocarcinoma: two case reports. Dermatol Online J. 2009;15:8.

Vedantam R. Epidemiology of Taenia solium taeniasis/cysticercosis in India and Nepal Southeast Asian. J Trop Med Pub Heal. 2004;35:247-51.

Jay A, Dhanda J, Chiodini PL, Woodrow CJ, Farthing PM, Evans J, Jager HR. Oral cysticercosis. Brit J Oral Maxillofac Surg. 2007;45(4):331-4.

Handa U, Garg S, Mohan H. Fine needle aspiration in the diagnosis of subcutaneous cysticercosis. Diagn Cytopathol. 2008;36:183-7.






Case Reports