Indian doctors report rare case of Disseminated Cysticercosis
Magnetic resonance imaging of the head showed numerous well-defined cystic lesions throughout the cerebral cortex and the brain stem and cerebellum that were consistent with neurocysticercosis. Well-defined cysts that contained echogenic nodules were seen on ultrasonography of the eye and the right testis. Western blot analysis and enzyme-linked immunosorbent assay showed positive results for serum cysticercosis IgG antibody.
In the context of high cyst burden, treatment with antiparasitic medications can worsen inflammation and cerebral edema, and in the presence of ocular lesions, inflammation can lead to loss of vision. Therefore, antiparasitic medications were not administered in this case. Despite treatment with dexamethasone and antiepileptic medications, the patient died 2 weeks later.
For more details click on the link: DOI: 10.1056/NEJMicm1810953