Extensive Disseminated Cysticercosis: A Rare Case Report in North India

Area of Science:

• Infectious Diseases
• Neurology
• Parasitology

Background:

• Neurocysticercosis (NCC) is the most common parasitic infection of the central nervous system.
• Disseminated cysticercosis, characterized by widespread larval infection, is an extremely rare manifestation of cysticercosis, with fewer than 120 reported cases globally.

Purpose of the Study:

• To report a rare case of disseminated cysticercosis presenting with neurological symptoms.
• To emphasize the importance of considering disseminated forms of cysticercosis in endemic areas.
• To highlight the need for enhanced prevention and management strategies for NCC.

Main Methods:

• Case report of a 40-year-old female presenting with partial seizures.
• Clinical history, thorough investigation, and diagnostic imaging.
• Medical management and seizure control.

Main Results:

• Imaging revealed a high burden of cysticercosis larvae distributed throughout the patient's musculature.
• The patient's seizures were successfully managed with medical therapy.
• The case underscores the persistence of NCC in India despite a large vegetarian population, linked to sanitation and food processing issues.

Conclusions:

• Disseminated cysticercosis is a rare but severe complication of *Taenia solium* infection.
• Improved sanitation and food safety measures are crucial for controlling NCC in endemic regions like India.
• This case necessitates a review of current management guidelines and emphasizes the need for public health interventions.