Sato Akihiro, Nakamura Itaru, Fujita Hiroaki, Fukushima Shinji, Mizuno Yasutaka, Fujii Takeshi, Matsumoto Tetsuya
Department of Infection Prevention and Control, Tokyo Medical University Hospital, Japan.
Intern Med. 2016;55(9):1219-22. doi: 10.2169/internalmedicine.55.6176. Epub 2016 May 1.
We report a case of neurocysticercosis concurrent with taeniasis in a 31-year-old woman. The patient presented with a headache and diplopia. Oculomotor disturbances with a left adduction deficit were observed. Fundoscopy revealed papilledema. Additionally, computed tomography of the brain revealed more than 20 small cysts within the parenchyma, most of which were associated with ring enhancement. Moreover, serum antibody testing (Western blotting) for Taenia solium-cysticerci was positive. The patient received albendazole and corticosteroids, and progressive resolution of the neurological symptoms and papilledema was observed starting approximately three days after administration. This patient has been asymptomatic for more than one year.
我们报告一例31岁女性同时患有神经囊尾蚴病和绦虫病的病例。患者出现头痛和复视。观察到动眼神经功能障碍,伴有左眼内收功能缺损。眼底检查发现视乳头水肿。此外,脑部计算机断层扫描显示脑实质内有20多个小囊肿,其中大部分伴有环状强化。此外,猪带绦虫囊尾蚴的血清抗体检测(免疫印迹法)呈阳性。患者接受了阿苯达唑和皮质类固醇治疗,给药后约三天开始观察到神经症状和视乳头水肿逐渐消退。该患者已无症状超过一年。