Lyimo Frederick R, Jusabani Ahmed M, Makungu Hilda, Mtolera Maria, Surani Salim
Radiology, Muhimbili National Hospital, Dar es Salaam, TZA.
Radiology, Aga Khan Hospital, Dar es Salaam, TZA.
Cureus. 2021 Jan 22;13(1):e12851. doi: 10.7759/cureus.12851.
Dissemination of the cysticerci throughout the body with cardiopulmonary involvement represents a very rare occurrence and an uncommon form of cysticercosis manifestation. We report a rare case of a 48-year-old African male from urban Tanzania who was, at first, referred to our radiology department for a coronary computed tomography angiography (CCTA), but incidentally on further evaluation of the patient revealed a history of recurrent convulsions, loss of consciousness, a single episode of temporary loss of vision and recent skin nodules. The value of a full clinical and radiological evaluation of the patient presenting with adult-onset seizures cannot be overemphasized for the diagnosis of this disease. Management of disseminated cysticercosis is complex and, therefore, should be tailored to fit the individual cases and focus on clinical manifestations.
囊尾蚴在全身播散并累及心肺是一种非常罕见的情况，也是囊尾蚴病表现的一种不常见形式。我们报告一例罕见病例，患者为一名48岁来自坦桑尼亚城市的非洲男性，最初因冠状动脉计算机断层扫描血管造影（CCTA）被转诊至我们的放射科，但在对患者进一步评估时偶然发现其有反复抽搐、意识丧失、单次短暂视力丧失及近期皮肤结节的病史。对于诊断这种疾病而言，对成年起病癫痫患者进行全面临床和放射学评估的价值再怎么强调也不为过。播散性囊尾蚴病的管理很复杂，因此应根据个体情况进行调整，并关注临床表现。
