BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b5440 (Published 23 December 2009) Cite this as: BMJ 2009;339:b5440
  1. M K Sinha, senior resident,
  2. R K Garg, consultant
  1. 1Department of Neurology, CSM Medical University, Lucknow, India 226003
  1. msinha1{at}yahoo.co.in

    This 24 year old Indian man presented with a two month history of multiple painless nodules over the underside of his tongue and lower lip. The differential diagnoses included mucocele, fibroma, and salivary gland neoplasia. Excision biopsy showed cysticercosis with invaginated scolex (head). Cysticercosis is a parasitic infection caused by the larva of Taenia solium (pork tapeworm). Brain, muscles, heart, and retina are frequently affected, but intraoral involvement is uncommon. Treatment is with antihelminthic drugs such as praziquantel and albendazole. Cysticercosis should be included in the differential diagnosis of oral nodular lesions, especially in patients from endemic areas such as Asia and Latin America.


    Cite this as: BMJ 2009;339:b5440


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