Wembulua Bruce Shinga, Diallo Kalilou, Diallo Moussa, Dione Marie Antoinette Daba, Diop Abdoulaye, Manga Noel Magloire
Service des Maladies Infectieuses et Tropicales, Centre Hospitalier National Universitaire de Fann, Dakar, Sénégal.
Unité des Maladies Infectieuses et Tropicales, Université Assane Seck, Hôpital de la Paix, Ziguinchor, Sénégal.
Pan Afr Med J. 2020 Aug 31;36:379. doi: 10.11604/pamj.2020.36.379.22722. eCollection 2020.
Cysticercosis is a neglected tropical disease set as health priority by WHO. Most of the reported cases included isolated types of cysticercosis affecting the skin, the eyes or the brain . Disseminated types, however, are rare. We here report a case of disseminated cysticercosis affecting the brain, the eyes and the skin in a Senegalese female patient aged 66 years admitted with headaches and chronic seizures. Clinical examination showed cerebellar syndrome associated with generalized and painless nodular subcutaneous lesions. Diagnosis was confirmed based on histopathological examination of skin biopsy which showed cysticerci. Patient's outcome was good under albendazole therapy.
囊尾蚴病是一种被世界卫生组织列为健康优先事项的被忽视的热带病。大多数报告病例为孤立型囊尾蚴病，影响皮肤、眼睛或大脑。然而，播散型却很罕见。我们在此报告一例66岁塞内加尔女性患者的播散型囊尾蚴病病例，该患者因头痛和慢性癫痫发作入院，病变累及大脑、眼睛和皮肤。临床检查显示小脑综合征伴有全身性无痛性结节性皮下病变。皮肤活检的组织病理学检查显示有囊尾蚴，从而确诊。在阿苯达唑治疗下患者预后良好。
