title: Disseminated cysticercosis with a right common femoral vein thrombosis.
abstract: Disseminated cysticercosis is an uncommon presentation of cysticercosis. Less than 10 cases of disseminated cysticercosis have been reported worldwide in children. We report the case of an 8-year-old boy with disseminated cysticercosis, who had presented with a swelling of the body for 1 month and proptosis of the eyeballs for 14 days. On examination, he had bilateral proptosis, subcutaneous nodules and hypertrophy of muscles of the limbs, neck and face. The CT cranium was normal, but the orbit showed bilateral bulky extraocular muscles heterogeneous in their whole length. The MRI cranium and whole body showed multiple non-enhancing vesicular cysts involving the brain, extraocular muscle, heart, trunk and muscles of the extremities and subcutaneous tissues. A Doppler study of the femoral vein showed thrombosis of the right common femoral vein. He was managed with corticosteroid, albendazole, phenytoin sodium, low-molecular-weight heparin followed by warfarin for 6 months and recovered completely.
authors: Department of Pediatrics, Nalanda Medical College, Patna, Bihar, India. utpalkant.singh@yahoo.co.in
authors: Utpal Kant
authors: UK
authors: Singh
authors: Rajniti
authors: R
authors: Prasad
authors: Prashant
authors: P
authors: Bhushan
authors: Om P
authors: OP
authors: Mishra
mesh_terms: D002648:Child; D003551:Cysticercosis / Q000150:complications / Q000175:diagnosis; D005268:Femoral Vein; D006801:Humans; D008297:Male; D020019:Neurocysticercosis / Q000150:complications / Q000175:diagnosis*; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis*
references: Arq Neuropsiquiatr. 1985 Dec;43(4):396-402
references: 3833141
references: Pediatr Radiol. 2010 Feb;40(2):223-7
references: 19949945
references: J Child Neurol. 2000 Apr;15(4):207-13
references: 10805184
references: Eur J Ophthalmol. 2010 Jan-Feb;20(1):240-2
references: 19882505
references: Lancet. 2003 Aug 16;362(9383):547-56
references: 12932389
references: Clin Microbiol Rev. 2002 Oct;15(4):747-56
references: 12364377
references: Indian Pediatr. 1996 Apr;33(4):337-9
references: 8772914
references: Lancet Neurol. 2005 Oct;4(10):653-61
references: 16168934
references: J Med Case Rep. 2008 Apr 30;2:137
references: 18447915
references: Ophtalmologie. 1990 Jul-Aug;4(4):377-9
references: 2263392
references: Pediatr Infect Dis J. 2007 Feb;26(2):180-1
references: 17259885
references: Brain. 1988 Jun;111 ( Pt 3):597-614
references: 3382913