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CASE REPORT
Year : 2023  |  Volume : 16  |  Issue : 2  |  Page : 89-91

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


Department of Neurology, Faculty of Medicine-Universitas Airlangga / Dr. Soetomo General-Hospital, Surabaya, Indonesia

Correspondence Address:
Paulus Sugianto
Department of Neurology, Faculty of Medicine-Universitas Airlangga / Dr. Soetomo General-Hospital, Surabaya
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-7645.368014

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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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