Neurocysticercosis Encephalitis in a Child with Disseminated Cysticercosis
Background: Cysticercosis, a common parasitic infestation in endemic regions, may rarely cause widespread dissemination throughout the body resulting in disseminated cysticercosis (DCC), scarcely reported in children. Clinical Description: An 8-year-old boy from rural India presented with a 2-week h...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Indian Pediatrics Case Reports |
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| Online Access: | https://journals.lww.com/10.4103/ipcares.ipcares_179_24 |
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| author | Mritunjay Kumar P. Sunny Sukumar Arvind Kumar Suman Ashish Upadhyay Pragati Garg |
| author_facet | Mritunjay Kumar P. Sunny Sukumar Arvind Kumar Suman Ashish Upadhyay Pragati Garg |
| author_sort | Mritunjay Kumar |
| collection | DOAJ |
| description | Background:
Cysticercosis, a common parasitic infestation in endemic regions, may rarely cause widespread dissemination throughout the body resulting in disseminated cysticercosis (DCC), scarcely reported in children.
Clinical Description:
An 8-year-old boy from rural India presented with a 2-week history of headache, abnormal movements, intermittent fever, vomiting, and altered sensorium. Clinical examination revealed generalized hypertonia and signs of raised intracranial pressure. Brain imaging displayed a “starry sky” pattern indicative of neurocysticercosis (NCC) encephalitis. Further imaging revealed cystic lesions throughout the thoracic, abdominal, and paraspinal muscles, confirming DCC.
Management and Outcome:
The patient was managed with intravenous methylprednisolone, antiepileptics, and acetazolamide, avoiding albendazole due to the risk of exacerbating cerebral edema. The patient regained consciousness after the fifth pulse of steroids and progressively improved thereafter being asymptomatic and seizure-free at the last follow-up, 3 months after discharge.
Conclusion:
This case creates awareness regarding a rare entity of NCC encephalitis seen in DCC. The condition may be considered in children presenting with encephalopathy in endemic regions. Supportive treatment with steroids without antiparasitic treatment may be successful. |
| format | Article |
| id | doaj-art-8a6b4098e6a34891aa8e9ced551b86d8 |
| institution | OA Journals |
| issn | 2772-5170 2772-5189 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Pediatrics Case Reports |
| spelling | doaj-art-8a6b4098e6a34891aa8e9ced551b86d82025-08-20T02:22:10ZengWolters Kluwer Medknow PublicationsIndian Pediatrics Case Reports2772-51702772-51892024-11-014424424710.4103/ipcares.ipcares_179_24Neurocysticercosis Encephalitis in a Child with Disseminated CysticercosisMritunjay KumarP. Sunny SukumarArvind Kumar SumanAshish UpadhyayPragati GargBackground: Cysticercosis, a common parasitic infestation in endemic regions, may rarely cause widespread dissemination throughout the body resulting in disseminated cysticercosis (DCC), scarcely reported in children. Clinical Description: An 8-year-old boy from rural India presented with a 2-week history of headache, abnormal movements, intermittent fever, vomiting, and altered sensorium. Clinical examination revealed generalized hypertonia and signs of raised intracranial pressure. Brain imaging displayed a “starry sky” pattern indicative of neurocysticercosis (NCC) encephalitis. Further imaging revealed cystic lesions throughout the thoracic, abdominal, and paraspinal muscles, confirming DCC. Management and Outcome: The patient was managed with intravenous methylprednisolone, antiepileptics, and acetazolamide, avoiding albendazole due to the risk of exacerbating cerebral edema. The patient regained consciousness after the fifth pulse of steroids and progressively improved thereafter being asymptomatic and seizure-free at the last follow-up, 3 months after discharge. Conclusion: This case creates awareness regarding a rare entity of NCC encephalitis seen in DCC. The condition may be considered in children presenting with encephalopathy in endemic regions. Supportive treatment with steroids without antiparasitic treatment may be successful.https://journals.lww.com/10.4103/ipcares.ipcares_179_24antiparasitic therapyencephalopathyendemicindia |
| spellingShingle | Mritunjay Kumar P. Sunny Sukumar Arvind Kumar Suman Ashish Upadhyay Pragati Garg Neurocysticercosis Encephalitis in a Child with Disseminated Cysticercosis Indian Pediatrics Case Reports antiparasitic therapy encephalopathy endemic india |
| title | Neurocysticercosis Encephalitis in a Child with Disseminated Cysticercosis |
| title_full | Neurocysticercosis Encephalitis in a Child with Disseminated Cysticercosis |
| title_fullStr | Neurocysticercosis Encephalitis in a Child with Disseminated Cysticercosis |
| title_full_unstemmed | Neurocysticercosis Encephalitis in a Child with Disseminated Cysticercosis |
| title_short | Neurocysticercosis Encephalitis in a Child with Disseminated Cysticercosis |
| title_sort | neurocysticercosis encephalitis in a child with disseminated cysticercosis |
| topic | antiparasitic therapy encephalopathy endemic india |
| url | https://journals.lww.com/10.4103/ipcares.ipcares_179_24 |
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