Painful Chest Wall Mass

Abstract

A 46 year old man was hospitalized with a tender, growing mass on the left side of the chest wall, ocular and thigh pain, and a mucoid draining sinus over the right hip. Certain findings and laboratory data supported a diagnosis of neoplasm, fungal infection, or typhoid fever, but the total clinical picture was not consistent with any of these. Examination of the excised mass showed encysted larval forms of Trichinella spiralis.