title: [A case of cysticercosis with multiple lesions in the brain and femoral muscles].
abstract: 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 (800 mg/day) and prednisolone (60 mg/day) were administered for 14 days. All cysticercus were smaller on Day7 and had almost disappeared on Day 14. 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.
authors.affiliation: Department of Medicine, Division of Clinical Infectious Diseases, Showa University School of Medicine.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Shoji
authors.forename: Takahito
authors.initials: T
authors.lastname: Hirai
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Shirakura
authors.forename: Takahiro
authors.initials: T
authors.lastname: Takuma
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Okino
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Wakatsuki
authors.forename: Teruhiko
authors.initials: T
authors.lastname: Okino
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Niki
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use*; D001921:Brain / Q000473:pathology*; D003551:Cysticercosis / Q000188:drug therapy* / Q000473:pathology; D004359:Drug Therapy, Combination / Q000379:methods; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology*; D011239:Prednisolone / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D011239:Prednisolone; D015766:Albendazole