Unusual sites of a common lesion in a patient

Cysticercosis is a parasitic infection which is caused by larval form of pork tapeworm, Taenia Solium. This condition is endemic in developing countries of Asia and Africa. The common sites are central nervous system (CNS), eye, striated muscle, subcutaneous tissues, liver and lungs. But very few cases of eyelid cysticercosis have been reported in the literature. The same patient had a similar swelling on left ear lobe. Hereby, we report a case of cysticercosis of eyelid and cheek in a 19-year-old female patient who presented with two swellings, one on the right upper eyelid on medial side and other on left upper cheek. Both these swellings were clinically diagnosed as epidermal cyst because of its exclusive site of presentation. Histopathology of excised eyelid lesion showed evidence of cysticercosis. Fine needle aspiration was done for the cheek swelling which confirmed the diagnosis of cysticercosis in that region too.