Please select all that applies A 56 year old female patient with ankle pain repo

Question

Please select all that applies

A 56 year old female patient with ankle pain reported to the emergency room. A subcutaneous mass that had appeared at her ankle in the last week was causing the pain. The pain was severe each time she flexed her foot. She reported to the physician that she had a similar mass close to her knee until the last week. She said the mass close to her knee had been there for the last ten years. She had not taken any medication or seen the doctor because it caused her no pain. Surgery was performed to remove the mass. A live juvenile worm that appeared to be a cestode was recovered from the mass. A radiograph of the area around her knee and of the surgical area showed an elongated serpentine tract with slight calcifications and areas of cellular infiltrate. There was no eosinophilia and she was otherwise fine. History taken showed that she had lived in Japan for 15 years and had returned to the United States in the last year. She occasionally accompanied family members to their farms and hiked in the mountains where she would drink water from springs. She denied eating snake or frog meat. Which of the following are associated with this case history?

a.

eating raw fish

b.

Drinking water containing infected copepods

c.

ingesting unwashed vegetables from the farm

d.

Diphylobothrium erinacei

e.

Spirometra species

f.

applying fish poultices

g.

Strongyloides stercoralis

h.

cysticercosis

i.

sparganosis

j.

Diphylobothrium latum

k.

Plerocercoid

a.

eating raw fish

b.

Drinking water containing infected copepods

c.

ingesting unwashed vegetables from the farm

d.

Diphylobothrium erinacei

e.

Spirometra species

f.

applying fish poultices

g.

Strongyloides stercoralis

h.

cysticercosis

i.

sparganosis

j.

Diphylobothrium latum

k.

Plerocercoid

Explanation / Answer

Sparganosis

Drinking water containing infected copepods

Plerocercoid

Spirometra species

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