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[Cysticercosis in Spain. Epidemiologic data].

In our country, cysticercosis is an endemic zoonosis due to the infestation of the larva (cysticercus) of the helminth, Tenia Solium. We Have analyzed the epidemiological data of 52 patients studied at the "Doce Octubre" hospital. The areas at risk are those western rural communities of the peninsula. Although the disease has not yet been erradicated, the lowest number of cases reported was in the 70's due to the greater health, sanitary and social development of these areas. Computorized tomography has helped to identify late manifestations of the disease.

Cysticercosis↗

[Cerebral cysticercosis. 10 cases].

Ten patients with cerebral cysticercosis seen between 1983 and 1986 were treated with praziquantel and in some cases by a ventriculoperitoneal shunt and/or surgical excision of cysts. Clinical and biological data were of no prognostic value. CT only was useful in orientating therapy and establishing the prognosis. A favorable course was obtained in 7 parenchymatous and meningeal forms, the fatal cases being of the mixed type. Praziquantel was inactive against intraventricular cysts.

Adult↗

[Cutaneous, muscular and cerebral cysticercosis].

We present a case of cysticercosis with cutaneous subcutaneous muscular and cerebral involvement. The patient, a 34 years old man, developed over ten years multiple calcified cysts diffusely on the body. Analysis of a calcified cyst revealed the presence of cysticercus. A therapy with praziquantel proved successful.

Adult↗

[Radiological aspects of cerebral and spinal cysticercosis. Apropos of 2 cases].

Two cases of neurocysticercosis are reported, one cerebral and the other spinal. Results of radiologic imaging of this affection, a rare parasitosis in occidental Europe, are discussed with emphasis on computed tomography findings. In fact, when perfect conditions can be established the CT scan provides data confirming the diagnosis of cerebral cysticercosis in most cases. However, this scan is insufficient for investigation of ventricular or cisternal forms when gas or positive contrast is sometimes necessary for visualization of parasitic cysts. Radiologic diagnosis of extra- and intra-medullary forms is based an myelography with water-soluble contrast completed by a scan.

Acute Disease↗

[Evaluation of the results of intradermal tests in spontaneous cysticercosis in cattle].

The diagnostic value of intradermal tests was verified on 126 bulls (out of this number 32 autopsically positive) subject to intravital diagnostics of bovine cysticercosis. As allergen were used homologous antigens from adult larvae of Taenia saginata and heterologous antigens from larvae of Taenia crassiceps, as well as hydatid fluid from Echinococcus granulosis. With the antigen T. saginata the sensitivity reached 53.1% and specificity 90.4%, with the antigen T. crassiceps 53.1% and 80.9% and with the antigen E. granulosus 16.7% and 89.5%.

Animals↗

Cysticercosis.

Cysticercosis is probably more common in the United States than is generally realized. The most frequent sites of involvement are the brain, the eye and the skeletal muscle. Normally, the larval stage of the pork tapeworm occurs in pig muscle. Occurrence in humans follows the ingestion of ova.

Adolescent↗

Vertebral cysticercosis. A case report.

Cysticercosis is a well-known condition in man, affecting the brain and neuromuscular tissue. Bony involvement is very rare. Our patient presented with destruction of the 11th thoracic vertebra and paraplegia. The diagnosis was confirmed on histological examination and enzyme-linked immunosorbent assay.

Cysticercosis↗

Ocular cysticercosis. A report of 13 cases.

Ocular cysticercosis does not usually present with signs of systemic involvement. Stool examination and eosinophil count are invariably negative, but computed tomography and agglutination tests are more commonly positive. This condition is more common in the vitreous cavity where it may cause diagnostic problems. Removal of the cyst is a standardised procedure, but the prognosis is poor because of severe ocular reaction to the cysts. Prevention of cysticercus infection is very important.

Adult↗

A case report of cysticercosis caused by Cysticercus longicollis, a larval form of Taenia crassiceps in a woodchuck (Marmota monax).

Cysticercosis was found in one of 18 woodchucks imported from the United States and maintained in our laboratory for study of hepatitis and hepatocellular carcinoma. The lesions found in subcutaneous area, lungs and maxillary sinus were multiple cysts containing numerous cysticerci identified as Cysticercus longicollis, a larval form of Taenia crassiceps.

Animals↗

[Cerebral cysticercosis: 4 cases].

Four cases of cerebral cysticercosis are reported, occurring in an immigrant population. Two patients presented with periodic epileptic fits and cerebral calcifications. One patient presented with an acute hemiparesis associated with lymphocytic meningitis and cerebral calcifications; the fourth patient had chronic meningitis with epileptic fits. Three patients were treated with praziquantel: an acute reaction occurred during treatment in two cases with an increase in the titres of the immunological reaction of hydatid cyst disease in one case. The authors suggest classifying this condition in three types: acute (parenchymatous or subarachnoid), chronic (chronic meningitis, hydrocephalus, progressive dementia), and sequelae (epilepsy with or without headaches). This classification seems the most appropriate way of summarizing the variable clinical presentation of this condition which is rarely observed in France. The most valuable diagnostic investigation is CT brain scanning. Immunological reaction to hydatid cyst (CSF and blood) are sometimes negative. Treatment with praziquantel often causes an acute reaction with a rise in antibody titres; this is a clinically benign reaction, and it could be used as a diagnostic test.

Adolescent↗

Pulmonary cysticercosis. A case report.

Pulmonary cysticercosis is an extremely rare manifestation of a rather common disease which occurs primarily in developing countries. A patient suffering from a very heavy infestation of Taenia solium larvae is described. Histological examination of biopsy specimens of several of the numerous subcutaneous nodules confirmed the diagnosis. All the lesions, including the pulmonary nodules, regressed rapidly after appropriate treatment.

Cysticercosis↗

Cerebral cysticercosis: treatment with praziquantel.

An infant with cerebral cysticercosis had marked clinical and radiographic improvement following treatment with praziquantel. Computed tomographic appearance and radioimmunoassay were helpful in establishing the diagnosis. Disappearance or size reduction of all active lesions were documented by computed tomography 6 months after praziquantel treatment. Simultaneous administration of dexamethasone during praziquantel treatment is essential to prevent reactive cerebral edema during treatment.

Brain↗

Taenia saginata cysticercosis in slaughter cattle in Anambra State, Nigeria.

The prevalence and distribution of Taenia saginata cysticercosis in Anambra State, Nigeria, was determined from analysis of official slaughterhouse records for 1973 to 1979 and from a special survey conducted at a typical slaughter slab in the State during September to December 1980. Of the 374,541 officially inspected cattle, 1,538 (0.41 percent) were positive for cysticerci. The special survey suggested that this apparently low infection rate underestimates the true extent of infection in slaughter cattle in the State. There was a highly significant negative correlation (r = -0.9921; p less than 0.001) between age and infection rate in 2 to 5 year old cattle and no cysticerci were found in older animals. This was partly responsible for the rather low prevalence rates in the predominantly very old animals slaughtered in the State and suggests that the age at which cattle are slaughtered may influence the numbers of viable cysts and of infected animals which can be detected at routine meat inspection.

Age Factors↗

Studies on Taenia saginata cysticercosis in eastern Nigeria.

A total of 942 slaughtered cattle at Nsukka, Enugu, Abakaliki, Nkalagu and Onitsha slaughter houses were examined for evidence of Cysticercus bovis infection. 430 animals (45.65 per cent) were in the 2-4 year age group. 38 animals had cysticerci in their tissues. Out of the 38 infected cattle 26 (68.42 per cent) were in the 2-4 year group. Of these 26 cattle, 20 (76.92 per cent) had viable cysts in parts of their body while 6 (23.1 per cent) had dead cysts. 2 out of the infected 20 cattle had viable cysts in the liver but only one had viable cysts in the lung. The number of cysts found per carcase was between 1 and 5.23 (60.53 per cent) of the 38 infected carcases had single infection and 15 (39.47 per cent) had multiple infection. Most commonly infected parts were the heart, tongue, masseter muscle, diaphragm with its pillar, muscle of arm, muscle of thigh, liver, oesophagus and lung in that order. The prevalent rates for Nsukka, Enugu, Abakaliki, Nkalagu, Onitsha slaughter houses were 4.35 per cent, 3.2 per cent, 4.10 per cent, 7.5 per cent and 4.07 per cent respectively. Bovine cysticercosis infection in cattle can be controlled by environmental sanitation and through meat inspection done by well trained meat inspectors.

Abattoirs↗