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Published on: June 5, 2012
Disseminated cysticercosis with pulmonary and cardiac involvement
Bharat K Jain1, Shilpa S Sankhe, Mukta D Agrawal
1Department of MRI, KEM Hospital and Seth G. S. Medical College, Parel, Mumbai - 400 012, India.
Insights
Cysticercosis, a parasitic infection, rarely affects the lungs and heart. This case highlights a 19-year-old with disseminated cysticercosis, showing extensive organ involvement including the brain, lungs, heart, and spine.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Cysticercosis is a parasitic infection caused by the larval cysts of the tapeworm Taenia solium.
- While neurocysticercosis is common, involvement of other organs like the lungs and heart is exceptionally rare and often asymptomatic.
Observation:
- A 19-year-old male presented with headache and vomiting.
- Diagnostic imaging revealed disseminated cysticercosis.
Findings:
- The patient exhibited rare, simultaneous involvement of multiple organs, including the brain, lungs, heart, pancreas, eyes, and spinal canal.
- Pulmonary and cardiac cysticercosis were confirmed, which are typically asymptomatic and seldom reported.
Implications:
- This case underscores the potential for widespread dissemination of cysticercosis beyond the central nervous system.
- Highlights the importance of considering cysticercosis in patients with unexplained multi-organ involvement, even with atypical presentations.
- Emphasizes the need for comprehensive diagnostic approaches to identify the full extent of parasitic invasion.
Abstract:
Pulmonary and cardiac involvement by cysticercosis is extremely rare, and is usually asymptomatic. We report the case of a 19-year-old boy who presented with a history of headache and vomiting and was found to have disseminated cysticercosis with pulmonary and cardiac involvement; the emphasis is on the rare occurrence of pulmonary, cardiac, pancreatic, intraocular, and extradural spinal canal involvement in the same patient. This case demonstrates the extent to which cysticercosis can be disseminated.
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