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Year : 2019  |  Volume : 12  |  Issue : 7  |  Page : 337-338

Disseminated cysticercosis presenting with bilateral proptosis: A case report

Department of Neurology, King George’s Medical University, Uttar Pradesh, Lucknow, India

Correspondence Address:
Ravindra Kumar Garg
Department of Neurology, King George’s Medical University, Uttar Pradesh, Lucknow 226003
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1995-7645.262078

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Rationale: Disseminated cysticercosis is characterized by presence of cysts in multiple body organs, like brain, skin, eyes, muscles and rarely heart and lungs. Patient concerns: A 22-year-old man presented with bilateral proptosis of 1-year duration. He also had two episodes of cysticercosis encephalitis. In the second episode of encephalopathy, the patient died. Diagnosis: Disseminated cysticercosis. Interventions: Corticosteroids (Initially intravenous dexamethasone 0.4 mg/kg/day for 2 weeks, followed by oral prednisolone 1.0 mg/kg/day). Outcomes: The patient died of cysticercosis encephalitis approximately 2 months later. Lessons: Disseminated cysticercosis in our case presented only with proptosis as he had very heavy infestation of the brain and eyes. Heavy larval infestation in a patient with disseminated cysticercosis can be life-threatening.

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