Cisticercosis diseminada: reporte de un caso en Perú

Julio Maquera-Afaray; Edwin Capaquira; Li Conde

doi:10.17843/rpmesp.2014.312.61

Authors

Julio Maquera-Afaray Unidad de infectología, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú. Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico residente de infectología
Edwin Capaquira Facultad de Ciencias de la Salud, Universidad Nacional Jorge Basadre Grohmann. Tacna, Perú. estudiante de Medicina
Li Conde Unidad de infectología, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú. médico infectóloga.

DOI:

https://doi.org/10.17843/rpmesp.2014.312.61

Keywords:

Cysticercosis, Taenia solium, Peru, neurocysticercosis

Abstract

Cysticercosis is a neglected and endemic disease in Peru that commonly affects the central nervous system (CNS), causing neurocysticercosis (NCC). However, only a few reports of disseminated cysticercosis (DCC) exist in the world. In this article we present a case report of a male, 82 year old patient from the department of Junin (Peru). He presented a sudden loss of consciousness associated with generalized tonic-clonic seizures. CT scan and brain MRI showed multiple cystic lesions with scolex presence inside and compatible with massive NCC. Thoracic, abdominal and pelvic MRI showed multi-organ dissemination of cysticerci. Although there is little therapeutic experience in cases of DCC, the patient received deworming treatment with albendazole and corticoids, in this way a favorable clinical outcome was achieved without complications during hospitalization.