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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 1, February 2014 pp 89-91

Case Report

Disseminated Cysticercosis: Uncommon Presentation of a Common Disease

Sonkamble Siddharth¹, S. J. Pednekar², Dharmendra P.³, Nishita S.⁴

Academic Editor : Dr. Aher K.R.

Introduction: Cysticercosis is a common tropical disease. One of the uncommon manifestations of cysticercosis is its disseminated form. This is the report of a case of disseminated cysticercosis, with simultaneous involvement of the brain, eyes, muscles and subcutaneous tissues. Such an extensive involvement of cysticercosis is extremely rare. Case Presentation: A 24 year old male presented with a history of abdominal and back pain, one brief episode of tonic clonic seizure and headache. He had multiple asymptomatic pea-sized subcutaneous nodules over the trunk. Serological test for cysticercal antibodies was positive. In Ultrasonography multiple small cystic area seen in muscles of anterior abdominal wall s/o muscular cysticercosis. In Contrast Enhanced CT Scan extensive foci of calcification with non enhancing pea sized hypodense areas seen in abdominal muscles, Psoas, pelvic and thigh muscles s/o cysticercosis. In CT brain multiple hyperdense foci and few hypodense small sized tiny lesions were seen. The patient was treated with albendazole, steroids and phenytoin, and showed improvement during follow up. Conclusion: Wide spread dissemination is a rare complication of cysticercosis. A planned approach to therapy is required.