脳および大腿筋内に多発病変を形成した有鉤嚢虫症の 1 例

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タイトル別名
  • A Case of Cysticercosis with Multiple Lesions in the Brain and Femoral Muscles
  • 症例 脳および大腿筋内に多発病変を形成した有鉤嚢虫症の1例
  • ショウレイ ノウ オヨビ ダイタイキン ナイ ニ タハツ ビョウヘン オ ケイセイ シタ ユウコウノウチュウショウ ノ 1レイ

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A 37-year-old Nepalese man was admitted to Showa University Hospital because of a loss of consciousness and seizures. He had lived in Nepal, Qatar, Singapore, and India before the age of 34 years.He had no history of having eaten raw pork. His physical findings were normal excluding an abnormal visual field, and a positive serum antibody test result for Taenia solium, CT and MRI examinations showed multiple nodular lesions in his brain and thigh. We resected a cyst from his left thigh and diagnosed him as having cysticercosis based on the presence of characteristic hooklets and suckers on a pathological examination. Later, the Asian type of Cysticercus cellulosa was identified using a mitochondrial DNA test. Albendazole (800mg/day) and prednisolone (60mg/day) were administered for 14 days. All cysticercus were smaller on Day7 andhad almost disappeared on Day14. No adverse effects from the treatment occurred. Cysticercosis is rare in Japan, and cases requiring treatment for a large number of cysticercus in the brain and thigh are rare. We report a case of neurocysticercosis that had a good clinical course.

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 87 (5), 608-612, 2013

    一般社団法人 日本感染症学会

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