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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
AN UNUSUAL PRESENTATION OF DISSEMINATED CYSTICERCOSIS
Author
Gautam Lokdarshi*, Bhagabat Nayak, Nishant Kumar, Durgapal Prashant
Email
gdarshiaiims@gmail.com
keyword
Cysticercosis, Immunodeficiency, Subcutaneous.
Abstract
A 48 years old male presented with multiple subcutaneous swellings, recurrent episodes of seizures and headache over six years. The swellings were present over chest, upper limbs, lower limbs, neck and were gradually increasing in size. Ultrasonography revealed well-defined cystic lesion with clear contents and a hyperechoic area suggestive of a scolex in the extraocular muscles of both eyes and in the psoas muscle in abdomen. CT scan orbit showed hypodense mass with a central hyperdensity lesion suggestive of the scolex in the extraocular muscles. Magnetic resonance imaging (MRI) brain showed multiple discrete hypoluscent lesions with surrounding enhanced whitish ring .Histo pathology examination (HPE) showed ectocyst and endocyst, confirming the diagnosis of cysticercosis. The patient was treated with Phenytoin sodium and prednisolone, and albendazole. The patient showed gradual regression of swellings over limbs and subconjunctival space over 6-8 weeks. Cysticercus cellulosae, the larval form of the pork tapeworm Taenia solium, is the causative organism of cysticercosis. Human act as intermediate host in the life cycle of T. solium. C. cellulosae may become encysted in various body tissues, usually eyes, brain and subcutaneous tissues, resulting in disseminated cysticercosis. We report an unusual case of disseminated cysticercosis, with simultaneous involvement of the brain, eyes, muscles and subcutaneous tissues. Disseminated cysticercosis is an uncommon manifestation of a common disease. Awareness about the extent of the disease should guide the physician to get a complete work up of the patient before starting the treatment.
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