Extensive disseminated cysticercosis with involvement of all possible rare sites in a single patient – MRI and USG diagnosis

  • Dr Amarjit Kaur Professor, Department of Radiodiagnosis Government Medical College and Rajindra Hospital Patiala, Punjab, India
  • Dr Naveen Pawar Junior Resident, Department of Radiodiagnosis Government Medical College and Rajindra Hospital Patiala, Punjab, India
  • Dr Jaswinder Kaur Mohi Associate Professor, Department of Radiodiagnosis Government Medical College and Rajindra Hospital Patiala, Punjab, India
  • Dr Simmi Bhatnagar Assistant Professor, Department of Radiodiagnosis Government Medical College and Rajindra Hospital Patiala, Punjab, India
  • Dr Shivani Sharma Junior Resident, Department of Radiodiagnosis Government Medical College and Rajindra Hospital Patiala, Punjab, India
  • Dr Rajiv Bhalla Junior Resident, Department of Radiodiagnosis Government Medical College and Rajindra Hospital Patiala, Punjab, India
Keywords: Pork tapeworm, Neglected disease, Attention pork eaters, Cysticerci studded body

Abstract

Cysticercosis due to its extensive study is known to be one of the common tropical diseases. The spectrum of the disease extension and involvement has been updated continuously and every time case reports have come with new conclusions as the disease is seen worldwide. Disseminated cysticercosis by itself is a rare complication of cysticercosis with involvement of skeletal, ocular and tongue muscles. Pulmonary and cardiac involvements are rare and there are hardly few cases worldwide. Surprisingly we could identify such tiny cysticerci in the lung parenchyma, cardia and thyroid apart from other known dissemination sites .Isolated pulmonary cysticercosis have been reported but simultaneous involvement of other unusual sites is a rarity. Most of diagnosis in our case is by MRI and some by USG.Hence we report MR and USG imaging of such a case of disseminated cysticercosis involving all the possible rare sites in a single young Indian male patient who presented with history of seizures. This documentation and reporting will add up to the few cases reported previously, some of which are in isolation.

Downloads

Download data is not yet available.

References

Feasey N, Wansbrough-Jones M, Mabey DC, Solomon AW. Neglected tropical diseases. Br Med Bull. 2010;93:179-200. doi: https://doi.org/10.1093/bmb/ldp046. Epub 2009 Dec 10.

"Taeniasis/Cysticercosis Fact sheet N°376". World Health Organization. February 2013. Retrieved 18 March 2014.

Krishnaswami CS. Case of cysticercus cellulose. Ind Med Gaz 1912; 27: 43-44.

Bothale KA, Mahore SD, Maimoon SA. A rare case of disseminated cysticercosis. Trop Parasitol. 2012 Jul;2(2):138-41. doi: http://www.tropicalparasitology.org/text.asp?2012/2/2/138/105183.

Muzumdar D, Nadkarni T, Desai K, Dindorkar K, Goel A. Thoracic intramedullary cysticercosis--two case reports. Neurol Med Chir (Tokyo). 2002 Dec;42(12):575-9.doi: https://doi.org/10.2176/nmc.42.575.

Beaver PC, Jung RC, Cupp EW. Clinical parasitology. 9th ed. Philadelphia: Led and Febiger; 1981. pp. 513–519.

Salis J. The morphology and pathogenicity of the bladder worm.1970:81–104. Praqul. academia(publishing house of the Czechoslovakia academy of science.

Bhalla A, Sood A, Sachdev A, Varma V. Disseminated cysticercosis: a case report and review of the literature. J Med Case Rep. 2008 Apr 30;2:137. doi: https://doi.org/10.1186/1752-1947-2-137.

Jain BK, Sankhe SS, Agrawal MD, Naphade PS. Disseminated cysticercosis with pulmonary and cardiac involvement. Indian J Radiol Imaging. 2010 Nov;20(4):310-3. doi: http://www.ijri.org/text.asp?2010/20/4/310/73532.

Kumar A, Bhagwani DK, Sharma RK, Kavita, Sharma S, Datar S, Das JR. Disseminated cysticercosis. Indian Pediatr. 1996 Apr;33(4):337-9.

King CH. Cestodes (Tapeworms). In: Mandell GL, editor. Principles and practice of infectious diseases. 6 th ed. Philadelphia: Elsevier Churchill Livingstone; 2005. p. 3289.

Scholtz L, Mentis H. Pulmonary cysticercosis. A case report. S Afr Med J. 1987 Oct 17;72(8):573-4.

Vijayaraghavan SB. Sonographic appearances in cysticercosis. J Ultrasound Med. 2004 Mar;23(3):423-7.doi: https://doi.org/10.7863/jum.2004.23.3.423.

Del Brutto OH, Rajshekhar V, White AC Jr, Tsang VC, Nash TE, Takayanagui OM, Schantz PM, Evans CA, Flisser A, Correa D, Botero D, Allan JC, Sarti E, Gonzalez AE, Gilman RH, García HH. Proposed diagnostic criteria for neurocysticercosis. Neurology. 2001 Jul 24;57(2):177-83.doi: https://doi.org/10.1212/wnl.57.2.177.

Extensive disseminated cysticercosis with involvement of all possible rare sites in a single patient – MRI and USG diagnosis
CITATION
DOI: 10.17511/ijmrr.2016.i09.18
Published: 2016-09-30
How to Cite
1.
Kaur A, Pawar N, Kaur Mohi J, Bhatnagar S, Sharma S, Bhalla R. Extensive disseminated cysticercosis with involvement of all possible rare sites in a single patient – MRI and USG diagnosis. Int J Med Res Rev [Internet]. 2016Sep.30 [cited 2024Nov.23];4(9):1620-7. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/706
Section
Case Report