Zou Y, Wang F, Wang HB, Wu WW, Fan CK, Zhang HY, Wang L, Tian XJ, Li W, Huang MJ. Disseminated cysticercosis in China with complex and variable clinical manifestations: a case series.
BMC Infect Dis 2019;
19:543. [PMID:
31221089 PMCID:
PMC6584991 DOI:
10.1186/s12879-019-4171-4]
[Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2019] [Accepted: 06/07/2019] [Indexed: 11/16/2022] Open
Abstract
Background
Cysticercosis is an emerging and neglected tropical disease (NTD) that poses a serious public health concern worldwide. Disseminated cysticercosis (DCC) is an uncommon manifestation of cysticercosis, also found in China.
Case presentation
We report three cases of DCC in patients living in China, with different clinical and radiological presentations. All three patients had DCC with active ocular cysticercosis, including one patient with widespread DCC caused by direct ingestion of Taenia solium eggs. The intravitreal cysticercus cyst in this patient was completely extracted entirely by 23-gauge pars plana vitrectomy, and the cyst was oval in shape on the flat mount preparation.
Conclusion
The clinical presentation of DCC is highly sophisticated. The diagnosis depended on the typical radiological presentations, biopsy and flat mount preparations of the cyst.
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