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Remadi M, Saguin E, Ficko C. Troubles neuropsychiatriques chez un jeune adulte : penser au parasite ! ANNALES MEDICO-PSYCHOLOGIQUES 2022. [DOI: 10.1016/j.amp.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Pujari A, Bhaskaran K, Modaboyina S, Das D, Saluja G, Samdani A, Singh P, Bajaj MS, Sharma N. Cysticercosis in ophthalmology. Surv Ophthalmol 2021; 67:544-569. [PMID: 34339720 DOI: 10.1016/j.survophthal.2021.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 07/20/2021] [Accepted: 07/26/2021] [Indexed: 12/17/2022]
Abstract
Cysticercosis is caused by Taenia solium, a cestode or tapeworm that preferentially affects the subcutaneous tissue, brain, muscle, and the eye. It is traditionally a disease of low socioeconomic regions, but large-scale population migration has made it a matter of global concern. Its ocular invasion is a potentially blinding disease. In the last two decades, there has been considerable discussion of cysticercosis; however, most comes from a limited number of case observations. Thus, to overcome this limitation, we summarize and analyse twenty years of medical literature (from 2000 to 2020) on cysticercosis in ophthalmology.
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Affiliation(s)
- Amar Pujari
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India.
| | - Karthika Bhaskaran
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India
| | - Sujeeth Modaboyina
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India
| | - Deepshekhar Das
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India
| | - Gunjan Saluja
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India
| | - Asha Samdani
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India
| | - Pallavi Singh
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India
| | - Mandeep S Bajaj
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India
| | - Namrata Sharma
- Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, RPC-1, AIIMS, New Delhi, India
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Wiwanitkit V. Diagnostic and management strategies of ocular cysticercosis: current perspectives. EXPERT REVIEW OF OPHTHALMOLOGY 2020. [DOI: 10.1080/17469899.2020.1806714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Viroj Wiwanitkit
- Department of Community Medicine, Dr DY Patil University, Pune, India
- Department of Tropical Medicine, Hainan Medical University, Haikou, China
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Pandey S, Malhotra HS, Garg RK, Malhotra KP, Kumar N, Rizvi I, Jain A, Kohli N, Verma R, Sharma P, Uniyal R, Pandey S. Quantitative assessment of lesion load and efficacy of 3 cycles of albendazole in disseminated cysticercosis: a prospective evaluation. BMC Infect Dis 2020; 20:220. [PMID: 32171260 PMCID: PMC7071677 DOI: 10.1186/s12879-020-4891-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Accepted: 02/17/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The management of disseminated cysticercosis is unclear and largely considered hazardous. The role of albendazole remains controversial in such patients. METHODS A tertiary care, University hospital-based prospective intervention study was conducted from December 2015 to December 2017. Patients with disseminated cysticercosis, defined as the presence of multiple viable neurocysticerci (≥ 3) in the brain along with involvement of an additional extra site, were included in the study. Patients with cysticercal encephalitis were excluded. A detailed evaluation, including ophthalmoscopy, ocular B scans, ultrasound abdomen, and X-rays were done. Albendazole was administered at a dose of 15 mg/kg/day in 3 cycles of 28 days each. All patients were also given adjuvant corticosteroids and anti-epileptic drugs. Clinical and radiological follow up was carried out at a difference of 3 months between each treatment cycle. For radiological quantification, lesions were counted at 10 pre-specified levels. Statistical analysis was done to estimate the difference in seizure frequency and lesion load. RESULTS Twenty-nine patients (21 with > 20 lesions; 8 with ≤ 20 lesions) were given albendazole as per the protocol. There was a significant reduction in the occurrence of seizures (P < 0.001) and headache (P < 0.001). A significant reduction in lesion load from baseline to third follow-up was seen in the estimations done at different levels (P < 0.001). No patient developed serious side-effect warranting cessation of therapy. CONCLUSION Cyclical use of albendazole appears efficacious in treating disseminated cysticercosis. The method of quantification described may be used in future studies for objective assessment. TRIAL REGISTRATION ISRCTN11630542; 28th September 2019; Retrospectively registered.
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Affiliation(s)
- Sudhakar Pandey
- Department of Neurology, King George's Medical University, U.P, Lucknow, 226003, India
| | | | - Ravindra Kumar Garg
- Department of Neurology, King George's Medical University, U.P, Lucknow, 226003, India
| | - Kiran Preet Malhotra
- Department of Pathology, R.M.L. Institute of Medical Sciences, Lucknow, 226010, India
| | - Neeraj Kumar
- Department of Neurology, King George's Medical University, U.P, Lucknow, 226003, India
| | - Imran Rizvi
- Department of Neurology, King George's Medical University, U.P, Lucknow, 226003, India
| | - Amita Jain
- Department of Microbiology, King George's Medical University, U.P, Lucknow, 226003, India
| | - Neera Kohli
- Department of Radiodiagnosis, King George's Medical University, U.P, Lucknow, 226003, India
| | - Rajesh Verma
- Department of Neurology, King George's Medical University, U.P, Lucknow, 226003, India
| | - Praveen Sharma
- Department of Neurology, King George's Medical University, U.P, Lucknow, 226003, India
| | - Ravi Uniyal
- Department of Neurology, King George's Medical University, U.P, Lucknow, 226003, India
| | - Shweta Pandey
- Department of Neurology, King George's Medical University, U.P, Lucknow, 226003, India
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