IPLab:Lab 11:Cysticercosis: Difference between revisions
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This 29-year-old woman was admitted to the hospital because of repeated tonic-clonic seizures. The patient was a tour guide leading groups of tourist to Tibet for two-month walking/camping tours in the Himalayas. Her seizures were easily controlled by intravenous administration of phenytoin. The WBC count was 13,000, with 5% eosinophils and the erythrocyte sedimentation rate was slightly elevated. A cranial CT performed with and without contrast revealed two ring-enhancing lesions. The patient underwent a craniotomy and excisional biopsy. | This 29-year-old woman was admitted to the hospital because of repeated tonic-clonic seizures. The patient was a tour guide leading groups of tourist to Tibet for two-month walking/camping tours in the Himalayas. Her seizures were easily controlled by intravenous administration of phenytoin. The WBC count was 13,000, with 5% eosinophils and the erythrocyte sedimentation rate was slightly elevated. A cranial CT performed with and without contrast revealed two ring-enhancing lesions. The patient underwent a craniotomy and excisional biopsy. | ||
Histopathologic exam of the surgical specimen revealed a capsule of dense connective tissue surrounding a cavity that contained a partially degenerated scolex of Taenia solium. | |||
Histopathologic exam revealed a capsule of dense connective tissue surrounding a cavity that contained a partially degenerated scolex of Taenia solium. | |||
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* [ | * [{{SERVER}}/library/index.php?/tags/1622-cysticercosis PEIR Digital Library: Cysticercosis Images] | ||
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[[Category: IPLab:Lab 11]] | [[Category: IPLab:Lab 11]] | ||
Latest revision as of 17:03, 9 July 2020
Clinical Summary
This 29-year-old woman was admitted to the hospital because of repeated tonic-clonic seizures. The patient was a tour guide leading groups of tourist to Tibet for two-month walking/camping tours in the Himalayas. Her seizures were easily controlled by intravenous administration of phenytoin. The WBC count was 13,000, with 5% eosinophils and the erythrocyte sedimentation rate was slightly elevated. A cranial CT performed with and without contrast revealed two ring-enhancing lesions. The patient underwent a craniotomy and excisional biopsy.
Histopathologic exam of the surgical specimen revealed a capsule of dense connective tissue surrounding a cavity that contained a partially degenerated scolex of Taenia solium.
Images
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This is a head CT showing the two cysts (arrows). -
This is a photograph of the cyst that was surgically removed. The cyst is filled with a clear fluid and contains a scolex. -
This photograph of an autopsy specimen from another patient shows an adult tapeworm in the intestine. Note that the worm attaches to the luminal surface of the intestine via the scolex. -
This is a photograph of the body of an adult tapeworm. Note the body segments.
Study Questions
Additional Resources
Reference
- eMedicine Medical Library: Cysticercosis
- eMedicine Medical Library: Cysticercosis in Emergency Medicine
- Merck Manual: Taeniasis Solium and Cysticercosis
Journal Articles
- Garcia HH, Del Brutto OH. Taenia solium cysticercosis. Infect Dis Clin North Am 2000 Mar;14(1):97-119, ix.
Images
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