Gnanamoorthy Kothai, Suthakaran Prasanna Karthik
Department of General Medicine, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India.
Department of General Medicine, Saveetha Medical College, Saveetha University, Chennai, Tamil Nadu, India.
Ann Afr Med. 2019 Jan-Mar;18(1):51-53. doi: 10.4103/aam.aam_76_17.
Cysticercosis is a major public health problem, particularly in developing countries. It is caused by the larvae of the cestode Taenia solium (pork tapeworm). It usually presents as a solitary lesion in the muscle or brain (neurocysticercosis). Disseminated cysticercosis is an uncommon manifestation, especially in an immunocompetent individual. We hereby report the case of a 31-year-old male who presented with new-onset generalized tonic-clonic seizures and who also had multiple soft-tissue swellings all over his body. Imaging studies revealed multiple cysticerci in the brain parenchyma, extraocular muscles, and muscles of all the four limbs, which was subsequently established by histopathology also. The patient was started on anticonvulsants, steroids, and albendazole following which he made a complete recovery.
囊尾蚴病是一个主要的公共卫生问题，在发展中国家尤为如此。它由绦虫猪带绦虫（猪肉绦虫）的幼虫引起。它通常表现为肌肉或脑部的单个病变（神经囊尾蚴病）。播散性囊尾蚴病是一种不常见的表现，尤其是在免疫功能正常的个体中。我们在此报告一例31岁男性病例，该患者出现新发的全身性强直阵挛发作，且全身有多处软组织肿胀。影像学研究显示脑实质、眼外肌和四肢所有肌肉中有多个囊尾蚴，随后组织病理学检查也证实了这一点。患者开始接受抗惊厥药、类固醇和阿苯达唑治疗，之后完全康复。
