Long-term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient: A case report

Rationale: Neurocysticercosis is a neglected tropical disease caused by the larvae of Taenia solium and may occur in immunocompetent people. We report a case of diffuse parenchymal neurocysticercosis mimicking tuberculous meningitis in an immunocompetent patient. Patient concerns: A 24-year-old immu...

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Main Authors: Paulus Sugianto, Abdulloh Machin, Wardah Rahmatul Islamiyah, Cindy Cecilia
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Asian Pacific Journal of Tropical Medicine
Subjects:
Online Access:http://www.apjtm.org/article.asp?issn=1995-7645;year=2023;volume=16;issue=2;spage=89;epage=91;aulast=Sugianto
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author Paulus Sugianto
Abdulloh Machin
Wardah Rahmatul Islamiyah
Cindy Cecilia
author_facet Paulus Sugianto
Abdulloh Machin
Wardah Rahmatul Islamiyah
Cindy Cecilia
author_sort Paulus Sugianto
collection DOAJ
description Rationale: Neurocysticercosis is a neglected tropical disease caused by the larvae of Taenia solium and may occur in immunocompetent people. We report a case of diffuse parenchymal neurocysticercosis mimicking tuberculous meningitis in an immunocompetent patient. Patient concerns: A 24-year-old immunocompetent woman presented with serial focal to generalized seizure, left body weakness, left abducens palsy, chronic cough, and body weight loss. She came from an area where she was unlikely to have contact with Taenia solium. Diagnosis: Diffuse parenchymal neurocysticercosis. Intervention: Valproic acid, dexamethasone and 15 months of albendazole therapy. Outcome: Complete recovery without any neurological sequelae. Lessons: Prolonged anthelminthic treatment may benefit neurocysticercosis patients with multiple cerebral parenchymal lesions.
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spelling doaj.art-e8bd6310eb7149e3b89736f731bc5cc72023-10-26T05:37:09ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Tropical Medicine2352-41462023-01-01162899110.4103/1995-7645.368014Long-term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient: A case reportPaulus SugiantoAbdulloh MachinWardah Rahmatul IslamiyahCindy CeciliaRationale: Neurocysticercosis is a neglected tropical disease caused by the larvae of Taenia solium and may occur in immunocompetent people. We report a case of diffuse parenchymal neurocysticercosis mimicking tuberculous meningitis in an immunocompetent patient. Patient concerns: A 24-year-old immunocompetent woman presented with serial focal to generalized seizure, left body weakness, left abducens palsy, chronic cough, and body weight loss. She came from an area where she was unlikely to have contact with Taenia solium. Diagnosis: Diffuse parenchymal neurocysticercosis. Intervention: Valproic acid, dexamethasone and 15 months of albendazole therapy. Outcome: Complete recovery without any neurological sequelae. Lessons: Prolonged anthelminthic treatment may benefit neurocysticercosis patients with multiple cerebral parenchymal lesions.http://www.apjtm.org/article.asp?issn=1995-7645;year=2023;volume=16;issue=2;spage=89;epage=91;aulast=Sugiantoalbendazole; corticosteroid; neurocysticercosis; prognosis; taenia solium; tuberculous meningitis
spellingShingle Paulus Sugianto
Abdulloh Machin
Wardah Rahmatul Islamiyah
Cindy Cecilia
Long-term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient: A case report
Asian Pacific Journal of Tropical Medicine
albendazole; corticosteroid; neurocysticercosis; prognosis; taenia solium; tuberculous meningitis
title Long-term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient: A case report
title_full Long-term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient: A case report
title_fullStr Long-term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient: A case report
title_full_unstemmed Long-term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient: A case report
title_short Long-term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient: A case report
title_sort long term albendazole therapy for diffuse parenchymal neurocysticercosis in an immunocompetent patient a case report
topic albendazole; corticosteroid; neurocysticercosis; prognosis; taenia solium; tuberculous meningitis
url http://www.apjtm.org/article.asp?issn=1995-7645;year=2023;volume=16;issue=2;spage=89;epage=91;aulast=Sugianto
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AT wardahrahmatulislamiyah longtermalbendazoletherapyfordiffuseparenchymalneurocysticercosisinanimmunocompetentpatientacasereport
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