A Rare Case Report of Disseminated Cysticercosis

Dr. Jignesh Jethva, Dr. Purvi R. Bhagat, Dr. Rutvi Parmar, Dr. Farhad Mansuri
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Abstract

One of the most important parasites which frequently causes blindness in humans is the cysticercus cellulosae, in which humans are the intermediate hosts in the life cycle. Ophthalmological involvement can affect eyelids, conjunctiva, anterior chamber, uvea, vitreous, retina, extra ocular muscles and optic nerve. We report the case of a 55 years old female who presented with multiple swelling in all limb, difficulty in walking and loos of vision in right eye. On ocular examination, there was subconjunctival cyst in inferior forniceal region in left eye and ill-defined ruptured cyst in vitreous cavity in right eye. On physical examination, multiple cystic swellings were observed over her skull, arms, forearm, thighs, fingers and toes. Simultaneous involvement of eye, limbs and CNS is rare in routine scenario. Diagnosis of cysticercosis is based mainly on orbital imaging because of its highly specific appearance. Medical therapy is the main stay of treatment. Keywords: Disseminated cysticercosis, ocular cysticercosis, neurocysticercosis.
播散性囊虫病1例报道
经常导致人类失明的最重要的寄生虫之一是囊尾蚴,人类是其生命周期中的中间宿主。眼部受累可影响眼睑、结膜、前房、葡萄膜、玻璃体、视网膜、眼外肌和视神经。我们报告一例55岁的女性,她表现为四肢多发性肿胀,行走困难和右眼视力下降。眼科检查发现左眼下穹窿区结膜下囊肿,右眼玻璃体腔破裂囊肿,边界不清。体格检查发现颅骨、手臂、前臂、大腿、手指和脚趾多发囊性肿胀。眼部、四肢和中枢神经系统同时受累在常规情况下是罕见的。囊虫病的诊断主要基于眼眶成像,因为其高度特异性的表现。药物治疗是治疗的主要手段。关键词:播散性囊虫病,眼囊虫病,神经囊虫病
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