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PubMed1999

[Intramedullary cysticercosis: case report].

Cysticercosis is the most ordinary parasitary disease involving the nervous system. The involvement of the spine is rare, ranging from 0.7% to 5.8%, and the intramedullary incidence is rather uncommon. We report the case of a 52-year-old female patient with intramedullary cysticercosis at the C4-C5 level, treated at the Neurology and Neurosurgery Service of Santa Casa de Belo Horizonte. The patient was operated with the complete exeresis of the lesion and had a good outcome. Forty-five cases of intramedullary cysticercosis were found in the literature review. We conclude that although it is a rare pathology, intramedullary cysticercosis should be included in the differential diagnosis of intramedullary lesions, mainly in cases of patients with previous diagnosis for neurocysticercosis and also of those who live in endemic areas.

Cysticercosis↗
PubMed2005

[Cysticercosis research in epileptic patients dwelling in towns of the western Cariri in the State of Paraíba, Brazil].

This research involved a sample of 110 epileptic patients from western Cariri, Paraíba, Brazil and it has been developed in three successive phases. During the first one, an epidemiological form was applied with the aim of identifying risk factors related to the taeniasis cysticercosis complex in the etiology of the patients' epilepsy. The second phase consisted of immunological exams of 110 patients, by means of the EITB technique to identify the anti-cysticerci serum antibodies, whereas the presence of circulating antigens was verified through the ELISA technique. In the third phase, thirteen patients who were seropositive, were submitted to brain CT scan. Applying the questionnaire enabled us to know some risk factors. The seroprevalence detected was 118.2/1000 inhabitants. Out of the 13 seropositive patients for cysticercosis, 46.1% presented parenchymal cysticercotic damage. Based on these results, we are able to conclude that the studied towns reveal an epidemiological profile which is compatible with the occurrence of the taeniasis cysticercosis complex and cysticercosis plays an important role in the sprouting of epilepsy in these patients.

Adolescent↗
PubMedDate not supplied

ELISA test for the diagnosis of cysticercosis in pigs using antigens of Taenia solium and Taenia crassiceps cysticerci.

In the present study ELISA was standardized for the diagnosis of swine cysticercosis based on necropsy parameters and confirmed positive and negative control sera. Serum samples from pigs with other infections were also assayed to determine possible cross-reactions. Four antigens were assayed: from Taenia crassiceps vesicular fluid (VF-Tcra) and crude larvae extract (T-Tcra), and from Taenia solium extracts of scolex (S-Ts) and of larvae (T-Ts). A checkerboard evaluation of antigen, serum and conjugate dilutions, as well as the use of Tween-20 and skim cow milk in wash and blocking solution had a marked effect on improving ELISA performance. All the antigens showed a good performance, but VF-Tcra was the best, with 96.0% and 80.0% sensitivities for cut-offs respectively at 2sd and 3sd, and corresponding specificities of 97.5% and 100.0%. Cross-reactivity was observed only with hydatidosis and ascaridiosis. In view of the high performance observed, the ELISA test should be recommended for the diagnosis of cysticercosis in suspected swine in slaughterhouses and for the screening of cysticercosis in swine production. These results will support integrated measures of cysticercosis control throughout the chain of swine production, effectively contributing to public health.

Animals↗
PubMed2001

Vaccination against Taenia solium cysticercosis.

Taenia solium is a parasite that causes human cysticercosis. Its life cycle includes the adult stage, the egg and the larval stage. Human cysticercosis is a disease related to underdevelopment, the main clinical manifestation is neurocysticercosis. Control measures include mass cestocidal treatment aimed to cure possible taeniosis cases. Although useful it has certain disadvantages, such as the generation of symptomatology in occult neurocysticercosis. Alternatively, health education has been shown to be highly effective since people become aware of the importance of human and porcine cysticercosis and the possibility of eliminating it. Nevertheless it has to be implemented by knowledgeable people. On the other hand, the life cycle can be controlled by avoiding swine cysticercosis. This review describes the studies performed to vaccinate pigs against T. solium and indicate that short time perspectives are very encouraging for the production of an optimal vaccine.

Animals↗
PubMed2006

Intrahepatic DNA vaccination: unexpected increased resistance against murine cysticercosis induced by non-specific enhanced immunity.

Experimental murine cysticercosis caused by Taenia crassiceps has proved to be a useful model with which to test the efficacy of new vaccine candidates and delivery systems against pig cysticercosis. A high level of protection against murine cysticercosis was previously observed by intramuscular or intradermal DNA immunization with the use of the sequence of the recombinant KETc7 antigen cloned in pcDNA3 (pTc-sp7). To determine the effect of KETc7 differential expression in DNA vaccination, KETc7 was cloned in pGEM 11Zf(+) under the control of the tissue-specific regulatory promoter phosphoenolpyruvate carboxykinase (pPc-sp7). A high level of protection was induced by intrahepatic immunization with pPc-sp7, pTc-sp7 and the empty vector in the absence of any specific immunity. The empty vector pGEM 11Zf(+), the plasmid with the highest content of CpG sequences, provided to the most efficient protection. This protection was related to an increased number of splenocytes, enhanced nonspecific splenocyte proliferation, and intensified intrahepatic INF-gamma production. Overall, intrahepatic plasmid CpG-DNA immunization provokes an exacerbated nonspecific immune response that can effectively control Taenia crassiceps cysticercosis.

Animals↗
PubMed2004

Cysticercosis-related deaths, California.

Cysticercosis is an increasingly important disease in the United States, but information on the occurrence of related deaths is limited. We examined data from California death certificates for the 12-year period 1989-2000. A total of 124 cysticercosis deaths were identified, representing a crude 12-year death rate of 3.9 per million population (95% confidence interval [CI] 3.2 to 4.6). Eighty-two (66%) of the case-patients were male; 42 (34%) were female. The median age at death was 34.5 years (range 7-81 years). Most patients (107, 86.3%) were foreign-born, and 90 (72.6%) had emigrated from Mexico. Seventeen (13.7%) deaths occurred in U.S.-born residents. Cysticercosis death rates were higher in Latino residents of California (13.0/106) than in other racial/ethnic groups (0.4/106), in males (5.2/106) than in females (2.7/106), and in persons >14 years of age (5.0/106). Cysticercosis is a preventable cause of premature death, particularly among young Latino persons in California and may be a more common cause of death in the United States than previously recognized.

Adolescent↗
PubMed2000

The Asian Taenia and the possibility of cysticercosis.

In certain Asian countries, a third form of human Taenia, also known as the Asian Taenia, has been discovered. This Asian Taenia seems to be an intermediate between Taenia solium and T. saginata since in morphological terms it is similar to T. saginata, yet biologically, as it uses the same intermediate host (pigs), it is more akin to T. solium. Taenia solium causes human cysticercosis, while T. saginata does not. It is not known whether the Asian taeniid is able to develop to the larval stage in humans or not. The arguments proposed by those authors who consider it unlikely that the Asian Taenia causes human cysticercosis are: (a) its molecular similarities with T. saginata; (b) the absence of cases of human cysticercosis in populations where the Asian adult is highly prevalent; and (c) the unsupporting results derived from an experimental infestation study. These three arguments are debated, although bearing in mind that at present there is still no clear scientific data to support that human cysticercosis can be caused by the Asian Taenia.

Animals↗
PubMed1991

A case of pulmonary cysticercosis.

Cysticercosis, which has a worldwide distribution is found in man, who is usually infected by eating inadequately cooked pork or other contaminated food. Cysticercosis develops most commonly in the muscles and brain. Pulmonary involvement is very rare and also difficult to recognize because pulmonary lesions caused by the presence of cysticerci are difficult to discern from pulmonary infiltrates, because other parasitic infestations or tuberculosis, as well as metastatic lesions, produce similar chest X-ray findings and similar clinical symptoms. We experienced a case of pulmonary cysticercosis confirmed at Gyeongsang National University Hospital by means of an open lung biopsy and treated successfully with praziquantel (50 mg/kg per day for 15 days). This case seems to indicate that pulmonary cysticercosis should be considered as a diagnostic possibility in patients with nodular infiltrates in the lungs, especially in endemic areas, until such infiltrates are otherwise explained.

Aged↗
PubMed1999

Human taenaisis and cysticercosis in slaughtered cattle, buffaloes and pigs in Egypt.

Human taeniasis and cysticercosis are zoonotic parasites of considerable public health problem. A total of 6434039 slaughtered animals over a period of four years (1994-1997) showed 0.72% cysticercosis (bovis and cellulosae) infections. Individual animal species infection was 0.23% in native breed cattle, 7.25% in imported cattle, 0.14 in buffaloes and 0.09% in pigs. The highly infested parts were the heart (64.2%) followed by the head (34.5%), the whole body (1.1%) and lastly, the quarter (0.2%) in both types of cattle and the heart (64.3%), the head (34.9%), the whole body (0.6%) and the quarter (0.2%) in buffaloes. In pigs, the highly infested parts were the whole body (55.4%) followed by the heart (37.8%) and lastly the head (6.8%). Some interesting cysticercosis were macroscopically and microscopically parasitologically and histopathologically studied. A general discussion on taeniasis and cysticercosis was given.

Abattoirs↗
PubMed2000

[Radioclinical aspects of cerebral and muscular cysticercosis: 20 cases].

We report a series of 20 cases of cysticercosis. Cysticercosis is a rather wide-spread disease in North Vietnam with clinical signs such as myalgia, headache, epileptic seizures. It is often seen in male adults 30 to 60 years old, not in children. CT-scan is a good method for detecting cerebral cysticercosis at different stages of evolution: cysts with scolex, calcified cysts or both simultaneously, which is the evidence of several successive infestations. Muscular cysticerci can be detected by palpation or by radiography when they are calcified. Cerebral and muscular locations of cysticercosis are nearly always simultaneous, therefore we must always explore these both seats by CT scan (for the brain) and by radiography (for the muscles and the subcutaneous tissue).

Adult↗
PubMed2000

Ocular cysticercosis--a review of 25 cases.

OBJECTIVE: To study the clinical manifestations, management and outcome of cases of ocular cysticercosis in India. METHODS: Retrospective analysis of records of patients presenting to the ophthalmology clinics, with cysticercosis, during years 1990-98. RESULTS: A total of 25 patients had ocular cysticercosis, during the period studied. Majority could be surgically removed without residual effects. However four patients (16%) had no useful vision left in the involved eye. CONCLUSION: Cysticercosis is still endemic in India and contributes to preventable blindness. Improving sanitation and health awareness are the only ways to prevent this infection.

Adolescent↗
PubMed2000

[A diagnostic analysis of imaging in ocular cysticercosis].

OBJECTIVE: To discuss B-ultrasonography, CT and MRI appearances and image diagnostic value for ocular cysticercosis. METHOD: In the 29 cases with ocular cysticercosis, 21 cases were examined by B-ultrasonography, 19 cases by X-ray computed tomography (CT) and 6 cases by magnetic resonance imaging (MRI). RESULTS: At the living stage of the cysticercus, B-ultrasound might detect parasitic cyst and its movement in the eyeball and orbit, extraocular muscle irregular hyperplasia; CT might detect parasitic cyst in the orbit and the pathologic extraocular muscle; MRI might detect the parasitic cyst in the eyeball and the orbit and the pathologic extraocular muscle. At the non-living stage of the cysticercus, B-ultrasonography and CT might discover calcification focus in the eyeball and extraocular muscle. CONCLUSION: Image appearances of ocular cysticercosis depend on the parasitic site and living status of cysticercus in the eye region. For diagnosis, B-ultrasonography may first be selected, MRI secondly selected for living stage and CT secondly selected for non-living stage of the ocular cysticercosis.

Adolescent↗
PubMed1998

[Application of improved western blot method in diagnosis of cysticercosis].

AIM: To evaluate the diagnostic value of four specific antigens from cDNA of Cysticercus cellulosae. cC1, cC2, and cP1 and cH1 (28 kDa, 18 kDa, 14 kDa and 34 kDa), mixing in equal proportions for the diagnosis of cysticercosis. METHODS: Taking the FP (fusion proteins) as antigen to make IWB (improved Western blot) analysis basing on the detection of antibody responses against FP, and making ELISA/IHA-crude antigen(CA) analysis. They were evaluated comparatively while using 107 infected sera of cysticercosis cases, 40 infected sera of clonorchiasis cases, 24 infected sera of echinococcosis cases and 34 sera of healthy persons. The FP are encoded by cDNAs of beta-galactosidase-specific antigens of Cysticercus cellulosae isolated from the cDNA library. RESULTS: 94(87.9%) sera from 107 cysticercosis cases recognized FP in IWB and could not cross-react with the sera of echinococcosis cases, clonorchiasis cases and healthy persons, the specific rates were 100%, whereas ELISA, IHA using CA were 84.1% and 74.8%, respectively and could cross-react with the sera of echinococcosis cases, the false positive rates were 2.5% and 12.5% respectively; CA-ELISA/IHA could cross-react with the sera of clonorchiasis patients, the false positive rates were 8.3% and 16.7%, respectively; and they could also cross-react with the sera of healthy persons, the false positive rates were 8.8% and 11.8%, respectively. CONCLUSION: The recombinant FP used in the immunodiagnosis of cysticercosis is specific and sensitive.

Animals↗
PubMed1999

[Detection of circulating antigen in serum and cerebrospinal fluid for diagnosis of cerebral cysticercosis].

AIM: To detect circulating antigen(CAg) in serum and cerebrospinal fluid(CSF) from patients with cerebral cysticercosis with specific antiserum by sandwich ELISA. METHODS: Antisera were prepared from rabbits immunized respectively with 3 antigens with molecule weights of 64 kDa, 53 kDa, 32 kDa-30 kDa extracted from Cysticercus cellulosae and purified by SDS-PAGE. RESULTS: When samples from patients were tested with antiserum against 53 kDa antigen, the CAg positive rate was 93.8% in serum and 91.7% in CSF of 32 patients with active cysticercosis, whereas only one positive was found in CSF in 16 patients with inactive cysticercosis. The detection rate of CAg was significantly higher with anti-53 kDa antiserum than with anti-64 kDa and anti-32 kDa-30 kDa antiserum. CONCLUSION: Sandwich-ELISA using antiserum against 53 kDa antigen to detect CAg was found to be a promising assay for diagnosis and evaluation of treatment efficacy of active cerebral cysticercosis in terms of its high sensitivity and specificity.

Animals↗
PubMed2004

[Cysticercosis and epilepsy: a case-control study in Mbam Valley, Cameroon].

The impact of neurocysticercosis in Africa is not well known, and its role in the occurrence of epilepsy is not well defined. The concomitant high prevalence of both diseases in this region suggests a causal association of cysticercosis and epilepsy. The few attempts to find such a link in Africa have yielded discordant data. In order to answer this question, we conducted a case-control study between June and August 1998 in the Bilomo village in Central Cameroon, where a recent study had demonstrated very high epilepsy prevalence of 58/1000. Ninety-three epilepsy patients and eighty-one age matched controls were included. All subjects were examined by a neurologist and serology for cysticercosis was performed using an ELISA method. Serologies for cysticercosis were positive in twenty-nine out of one hundred and seventy four patients (16.7%; 95% CI: 11.6-23.2). Seventeen cases (18.3%) and twelve controls (14.8%) had a positive serology The odd ratio was 1.3 (95% CI: 0.6-3.0). This study was not in favour of an epidemiological relationship between cysticercosis infection and epileptic disorders.

Adolescent↗
PubMed1991

Taeniasis-cysticercosis: an introduction.

Cysticercosis is caused by the establishment of Taenia solium larvae in the central nervous system, skeletal muscle and eyes of humans and pigs, after ingestion of eggs shed in human feces by the adult tapeworm. Human cysticercosis is increasingly recognized as a public health problem, especially in developing countries, and swine cysticercosis may be an important economic drain to the meat industry. The adult tapeworm is found only in human beings. Recent epidemiological data indicate that the presence of a tapeworm carrier in the close environment is a greater risk factor for acquiring cysticercosis than the spread of eggs through sewage.

Animals↗
PubMed1991

[The significance of immunoblot in serodiagnosis of cysticercosis cellulosae].

50, 92 and 30 samples collected respectively from cases with cysticercosis cellulosae, other parasitic diseases and normal controls were examined with SDS-gradient (5-20%) polyacrylamide-gel electrophoresis and immunoblot. The results showed that 26 KD protein band of the cysticercus antigen is highly specific for cysticercosis and no cross reaction could be seen in patients with other parasitic diseases, especially hydatid disease, and healthy controls. As we know that the cysticercus antigen usually has a high cross-reaction rate with hydatidosis by ELISA method, the positive rate of this test for cysticercosis is 70% in comparison with 80% and 76% of ELISA and CFT respectively and the difference in the figures of these three tests has no statistical significance. Our study suggested that this method is valuable in clinical diagnosis and epidemiological surveys for research work on cysticercosis cellulosae.

Animals↗
PubMed1990

[A case of cerebral cysticercosis: cyst growth is confirmed by CT scan during 6 years of follow-up].

A rare case of a 40-year-old woman with cerebral cysticercosis is reported. She has lived on the Island of Tokunoshima and has never travelled overseas. She was hospitalized in the hospital of Kagoshima University in 1980. A small cyst in the right temporal lobe, and a calcified area in the left parietal lobe was noticed on CT scan. When she was admitted to our hospital in December 1986, the cyst in the right temporal lobe was larger than it was 6 years before. An operation was performed for the cyst in the right temporal lobe. The cyst was pathologically confirmed as cysticercosis. Postoperatively, immunological reaction of cysticercosis was positive, but X-rays and CT scan of extremities showed no abnormal findings. Cerebral cysticercosis is a rare disease in Japan. CT scan is very useful in the diagnosis of this disease. Multiple cysts and calcified area in the parenchymal region are specific findings on CT scan.

Adult↗