CASE REPORT |
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Year : 2019 | Volume
: 12
| Issue : 7 | Page : 337-338 |
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Disseminated cysticercosis presenting with bilateral proptosis: A case report
Ravindra Kumar Garg, Neeraj Kumar, Imran Rizvi, Hardeep Singh Malhotra
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 India
 Source of Support: None, Conflict of Interest: None  | 1 |
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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