Author:
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1.
Mewara A, Goyal K, Sehgal R, 2013. Neurocysticercosis: A disease of neglect. Trop Parasitol 3: 106–113.
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Garcia HH, Nash TE, Del Brutto OH, 2014. Clinical symptoms, diagnosis, and treatment of neurocysticercosis. Lancet Neurol 13: 1202–1215.
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Dewi DK, Surjadi K, Fitrah A, 2023. Radiology findings in neurocysticercosis: A case report. Radiol Case Rep 18: 2960–2965.
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White AC Jr., Coyle CM, Rajshekhar V, Singh G, Hauser WA, Mohanty A, Garcia HH, Nash TE, 2018. Diagnosis and treatment of neurocysticercosis: 2017 Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis 66: e49–e75.
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Ndimubanzi PC, Carabin H, Budke CM, Nguyen H, Qian YJ, Rainwater E, Dickey M, Reynolds S, Stoner JA, 2010. A systematic review of the frequency of neurocyticercosis with a focus on people with epilepsy. PLoS Negl Trop Dis 4: e870.
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Coyle CM et al., 2012. Neurocysticercosis: Neglected but not forgotten. PLoS Negl Trop Dis 6: e1500.
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A Neurocysticercosis Case from Timor-Leste, A Previously Unidentified Region of Human Taeniasis Endemicity
Hanna Jin
Hanna Jin
Department of Tropical Medicine & Parasitology, Seoul National University College of Medicine, Seoul, Republic of Korea;
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Woojun Kim
Woojun Kim
Department of Neurology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;
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Sung Hye Kim
sunghyekim@hanyang.ac.kr
Sung Hye Kim
Department of Environmental Biology & Medical Parasitology, Hanyang University College of Medicine, Seoul, Republic of Korea
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ABSTRACT.
Neurocysticercosis, a central nervous system infection caused by the zoonotic parasite Taenia solium, is a leading cause of acquired epilepsy worldwide. It is common in areas with extensive pig farming and pork consumption. This report presents an unusual case of neurocysticercosis in a 28-year-old male from Timor-Leste, a region of nonendemicity for human cases of Taenia solium. The patient, who had experienced seizures precipitated by headaches, was admitted to the hospital on June 15, 2020. Comprehensive examinations, including neuroimaging, identified multiple cystic lesions suggestive of neurocysticercosis. Initial treatment with praziquantel and prednisolone, as well as levetiracetam, alleviated symptoms. However, symptom recurrence after 5 months prompted additional treatment cycles. This case underscores the importance of increased clinical vigilance in patients from areas of nonendemicity and the challenges in managing neurocysticercosis because of its evolving nature. The global health initiatives aimed at enhancing disease surveillance for human taeniasis are crucial for refining our knowledge on neurocysticercosis.
Author Notes
Financial support: This work was supported by the
Current contact information: Hanna Jin, Department of Tropical Medicine & Parasitology, Seoul National University College of Medicine, Seoul, Republic of Korea, E-mail: hannajin0529@gmail.com. Woojun Kim, Department of Neurology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea, E-mail: wjkim@catholic.ac.kr. Sung Hye Kim, Department of Environmental Biology & Medical Parasitology, Hanyang University College of Medicine, Seoul, Republic of Korea, E-mail: sunghyekim@hanyang.ac.kr.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Mewara A, Goyal K, Sehgal R, 2013. Neurocysticercosis: A disease of neglect. Trop Parasitol 3: 106–113.
-
2.
Garcia HH, Nash TE, Del Brutto OH, 2014. Clinical symptoms, diagnosis, and treatment of neurocysticercosis. Lancet Neurol 13: 1202–1215.
-
3.
Braae UC, Hung NM, Satrija F, Khieu V, Zhou XN, Willingham AL, 2018. Porcine cysticercosis (Taenia solium and Taenia asiatica): Mapping occurrence and areas potentially at risk in East and Southeast Asia. Parasit Vectors 11: 613.
-
4.
Donadeu M et al., 2022. WHO Taenia solium endemicity map—2022 update. Wkly Epidemiol Record 17: 169–172.
-
5.
Susilawathi NM, Suryapraba AA, Soejitno A, Asih MW, Swastika K, Wandra T, Budke CM, Ito A, Sudewi AR, 2020. Neurocysticercosis cases identified at Sanglah Hospital, Bali, Indonesia from 2014 to 2018. Acta Trop 201: 105208.
-
6.
Dewi DK, Surjadi K, Fitrah A, 2023. Radiology findings in neurocysticercosis: A case report. Radiol Case Rep 18: 2960–2965.
-
7.
White AC Jr., Coyle CM, Rajshekhar V, Singh G, Hauser WA, Mohanty A, Garcia HH, Nash TE, 2018. Diagnosis and treatment of neurocysticercosis: 2017 Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis 66: e49–e75.
-
8.
Mwang’onde BJ, 2024. Unraveling the enigma: Navigating challenges in the diagnosis and treatment of neurocysticercosis—A thorough exploration review. Med Res Arch 12.
-
9.
Del Brutto OH et al., 2005. Epilepsy and neurocysticercosis in Atahualpa: A door-to-door survey in rural coastal Ecuador. Epilepsia 46: 583–587.
-
10.
Medina MT et al., 2011. Reduction in rate of epilepsy from neurocysticercosis by community interventions: The Salama, Honduras study. Epilepsia 52: 1177–1185.
-
11.
Ndimubanzi PC, Carabin H, Budke CM, Nguyen H, Qian YJ, Rainwater E, Dickey M, Reynolds S, Stoner JA, 2010. A systematic review of the frequency of neurocyticercosis with a focus on people with epilepsy. PLoS Negl Trop Dis 4: e870.
-
12.
Coyle CM et al., 2012. Neurocysticercosis: Neglected but not forgotten. PLoS Negl Trop Dis 6: e1500.
-
13.
Cho SY, Kim SI, Kang SY, Choi DY, Suk JS, Choi KS, Ha YS, Chung CS, Myung HJ, 1986. Evaluation of enzyme-linked immunosorbent assay in serological diagnosis of human neurocysticercosis using paired samples of serum and cerebrospinal fluid. Kisaengchunghak Chapchi 24: 25–41.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1541 | 1541 | 154 |
| Full Text Views | 28 | 28 | 7 |
| PDF Downloads | 39 | 39 | 11 |