Indian Journal of
Applied Radiology
Open Science Publications
01
Abstract
Cysticercosis is caused by the larval form of the pork tapeworm Taenia solium. It is endemic in most parts of Asia and is transmitted by the feco-oral
route. It is the most common parasitic infestation of the central nervous system.
Disseminated Cysticercosis (DCC) is an uncommon manifestation of this common disease. One such rare case, diagnosed in a child patient is reported
here with a diffuse involvement of the Brain, muscles of extremities, subcutaneous tissues and intrabdominal organs.
The correct diagnosis of this case was made on the basis of high-resolution Ultrasonography of the involved parts along with a CT scan of Brain. Multiple
oval cystic lesions with central scolex were noted in muscles, subcutaneous tissues and within the liver on ultrasound whereas multiple ring-enhancing
lesions with perifocal edema were noted on CT Brain because of the diffuse involvement of the brain parenchyma.
Keywords: Disseminated cysticercosis; Muscle pseudohypertrophy; Neurocysticercosis; Subcutaneous nodules
Case Report
5yr old male child resident of Bihar, recently shited to
Maharashtra, came to the Pediatric OPD with complaints of a
recurrent seizures, headache, painful swellings in both the buttocks,
thighs and calf region. He also complained of abdominal pain in right
hypochondriac region non radiating with no aggravating or relieving
factors. here was no history of vomiting, bowel/bladder complaints.
He was a non-pork eater.
Examination revealed multiple subcutaneous nodules of size 1-2
cm over the lower extremities with mild hepatomegaly.
Blood Investigations showed,
Hemoglobin- 8.4mg/dl,
Total Leukocyte Count- 21000/cumm,
Introduction
Cysticercosis is caused by cysticercus cellulosae, which is the
larva of Taenia solium, the pork tapeworm. he larvae are carried in
the blood stream ater penetrating the walls of the alimentary tract
and they lodge in diferent tissues like the skin, skeletal muscles,
brain, fundus and heart to cause Disseminated cysticercosis. hough
cysticercosis is the most common helminthic infection of the CNS,
disseminated cysticercosis is rare. Less than 50 cases of disseminated
cysticercosis have been reported world-wide [1].
We report here one such rare case of Disseminated Cysticercosis
in a child who had recurrent seizures, headache, painful subcutaneous
nodules, and muscular hypertrophy. he diagnosis in this case was
primarily done with the help of High resolution Ultrasonography
whereas CT Brain helped in detecting the CNS involvement.
Volume 1, Issue 1 - 2015
© Tejas Mohan Tamhane 2015
www.opensciencepublications.com
Imaging in Disseminated Cysticercosis: A Case
Report and Review of Literature
Case Report
Tejas Mohan Tamhane*, Sushil Ghanshyam Kachewar, Dilip L Lakhkar
Department of Radio-Diagnosis, PDVVPF’S Medical College and Hospital, Vilad Ghat, Ahmednagar, India
*Corresponding author: Tejas Mohan Tamhane, Department of Radio-Diagnosis, PDVVPF’S Medical College and
Hospital, Vilad Ghat, Ahmednagar, Contact no. - 8275883113/ 7083770202, India; E-mail- drtejastamhane88@gmail.com
Copyright: © 2015 Tamhane TM, et al. his is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Article Information: Submission: 14/09/2015; Accepted: 29/10/2015; Published: 03/11/2015