Klotz P, Tappe D, Abele-Horn M, Warmuth-Metz M, Sörensen N, Speer C P, Girschick H J
J Med Microbiol. 2006 Mar;55(Pt 3):345-347. doi: 10.1099/jmm.0.46381-0.
Cysticercosis of the central nervous system is the main cause of late-onset epilepsy in tropical countries. The case of a 13-year-old German girl with a generalized seizure following long-term sojourns in the Tropics is reported. Cranial imaging showed two cerebral lesions with central calcifications. Serological, molecular and cultural examination of cerebrospinal fluid and blood was negative for various parasites, fungi and bacteria including mycobacteria. Histopathological examination after neurosurgical resection revealed calcareous bodies pathognomonic for platyhelminths, in particular tapeworms. Taken together, the radiological and histopathological findings indicate infection with cysticerci, the larvae of Taenia solium.
中枢神经系统囊尾蚴病是热带国家迟发性癫痫的主要病因。本文报告了一名13岁德国女孩的病例，该女孩在热带地区长期居住后出现全身性癫痫发作。头颅影像学检查显示两个伴有中央钙化的脑内病变。脑脊液和血液的血清学、分子学及培养检查对包括分枝杆菌在内的各种寄生虫、真菌和细菌均呈阴性。神经外科手术后的组织病理学检查发现了扁形蠕虫（尤其是绦虫）特有的石灰小体。综合放射学和组织病理学检查结果表明，该患者感染了猪带绦虫的幼虫——囊尾蚴。
