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Orbital cysticercosis: A case report.

Mehul Damani¹, Vinod C Mehta, Rahul B Baile

¹BARC Hospital, Mumbai 400095, India.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society

|August 21, 2013

Summary

This summary is machine-generated.

Orbital cysticercosis, a parasitic infection, can cause eye swelling and vision problems. Early diagnosis and treatment with albendazole resolved a case in a young male, highlighting effective management strategies for this rare condition.

Keywords:

Cysticercosis Orbit USG B scan

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Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst

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Published on: March 31, 2023

Area of Science:

Ophthalmology
Infectious Diseases
Neurology

Background:

Orbital cysticercosis is a rare parasitic infection caused by the larval stage of the pork tapeworm, Taenia solium.
It can present with varied ocular and neurological symptoms, including lid swelling and chemosis.
Neurocysticercosis, involving the central nervous system, may co-occur, as suggested by granulomas found in the patient's brain.

Purpose of the Study:

To report a case of orbital cysticercosis presenting with lid swelling and chemosis.
To illustrate the diagnostic utility of ultrasonography (USG B scan) in identifying orbital parasitic cysts.
To demonstrate the successful clinical and radiological resolution of orbital cysticercosis with medical management.

Main Methods:

A 22-year-old male presented with acute onset of lid swelling and conjunctival chemosis.
Computed tomography (CT) scan revealed cerebral granulomas, prompting initiation of anti-tuberculosis treatment.
Ocular examination and USG B scan confirmed an inferior anterior orbital cysticercosis cyst.

Main Results:

The patient received a one-month course of albendazole and oral corticosteroids (wysolone).
Following treatment, both clinical signs of inflammation (lid swelling, chemosis) and the orbital cyst on USG B scan resolved completely.
The patient's neurological symptoms, possibly related to concurrent neurocysticercosis, were managed separately.

Conclusions:

Orbital cysticercosis is a treatable condition that can mimic other inflammatory or infectious orbital pathologies.
Ultrasonography is a valuable tool for diagnosing orbital cysticercosis.
Prompt medical treatment with albendazole and corticosteroids can lead to complete resolution of orbital cysticercosis.