International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
ISSN: 2329-9096
Karthik Sankar
All India Institute of Medical Sciences, Rishikesh, India
Scientific Tracks Abstracts: Int J Phys Med Rehabil
swelling in her left forearm. No history of insect bite, trauma, cough, fever, night sweats, seizures, weight loss or appetite loss was reported. On examination, the swelling was approximately the size of a peanut, located on the ventral aspect of the forearm, without any signs of discoloration, discharge or inflammation of the overlying skin. On palpation, a tender, non-pulsatile mass was identified, measuring approximately 4 × 3 cm. The lesion was globular in shape with a soft to firm consistency, exhibited poorly defined margins, and was not adherent to the overlying skin. No additional swellings were detected on systemic examination, and the remainder of the physical assessment was unremarkable. Initial differential diagnosis of an inflamed lipoma, abscess and an infected sebaceous cyst were considered. Routine blood investigations like Complete Blood count and Erythrocyte sedimentation rate were within normal limits. On detailed assessment, Cysticercosis IgG antibody done by the Enzyme-linked immunosorbent assay (ELISA) was positive. Ultrasonography of the affected area revealed a well-defined cystic lesion measuring 3.6 × 2.2 × 1.5 cm³ (anteroposterior × transverse × craniocaudal), with peripheral calcified streaks suggestive of a scolex and surrounding oedema, in the intramuscular plane over Left Flexor digitorum profundus (FDP). A non-contrast CT scan of the head was performed to rule out neurocysticercosis and was found to be normal. She was started on oral Albendazole 400 mg once daily for three weeks and a tapering dose of oral steroids over ten days, resulting in complete resolution of symptoms. Follow-up evaluations at three and six weeks demonstrated complete symptomatic resolution, with no evidence of recurrence.
Dr. Karthik S. is currently pursuing his second year of postgraduate training in Physical Medicine and Rehabilitation at the All India Institute of Medical Sciences (AIIMS), Rishikesh, India. He is dedicated to advancing his clinical expertise in rehabilitation medicine and has a keen interest in improving patient outcomes through evidence-based rehabilitation practices.