A Rare Case Report of Ruptured Cyst Presenting With Acute Meningitis in an Untreated Neurocysticercosis

Neurocysticercosis (NCC) rarely presents as acute meningitis; however, when it does, it is not distinguishable clinically from other more common infectious etiologies. Here, we report a case of NCC presenting as acute meningitis, which also highlights the importance of brain MRI imaging rather than...

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Autores principales: Shereef, Hammam, Ahmed, Mahad, Ghandour, Mohamedanwar, Tapia-Zegarra, Gino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Infectious Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7945967/
https://www.ncbi.nlm.nih.gov/pubmed/33728172
http://dx.doi.org/10.7759/cureus.13222
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author Shereef, Hammam
Ahmed, Mahad
Ghandour, Mohamedanwar
Tapia-Zegarra, Gino
author_facet Shereef, Hammam
Ahmed, Mahad
Ghandour, Mohamedanwar
Tapia-Zegarra, Gino
author_sort Shereef, Hammam
collection PubMed
description Neurocysticercosis (NCC) rarely presents as acute meningitis; however, when it does, it is not distinguishable clinically from other more common infectious etiologies. Here, we report a case of NCC presenting as acute meningitis, which also highlights the importance of brain MRI imaging rather than CT where possible, the need to include MRI of the spine in patients with the subarachnoid disease, and the limitations of NCC antigen detection assay in cerebrospinal fluid when used in ventriculoperitoneal shunt specimens. A prolonged course of albendazole, praziquantel, and corticosteroids led to the resolution of our patient's NCC.
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spelling pubmed-79459672021-03-15 A Rare Case Report of Ruptured Cyst Presenting With Acute Meningitis in an Untreated Neurocysticercosis Shereef, Hammam Ahmed, Mahad Ghandour, Mohamedanwar Tapia-Zegarra, Gino Cureus Infectious Disease Neurocysticercosis (NCC) rarely presents as acute meningitis; however, when it does, it is not distinguishable clinically from other more common infectious etiologies. Here, we report a case of NCC presenting as acute meningitis, which also highlights the importance of brain MRI imaging rather than CT where possible, the need to include MRI of the spine in patients with the subarachnoid disease, and the limitations of NCC antigen detection assay in cerebrospinal fluid when used in ventriculoperitoneal shunt specimens. A prolonged course of albendazole, praziquantel, and corticosteroids led to the resolution of our patient's NCC. Cureus 2021-02-08 /pmc/articles/PMC7945967/ /pubmed/33728172 http://dx.doi.org/10.7759/cureus.13222 Text en Copyright © 2021, Shereef et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Infectious Disease
Shereef, Hammam
Ahmed, Mahad
Ghandour, Mohamedanwar
Tapia-Zegarra, Gino
A Rare Case Report of Ruptured Cyst Presenting With Acute Meningitis in an Untreated Neurocysticercosis
title A Rare Case Report of Ruptured Cyst Presenting With Acute Meningitis in an Untreated Neurocysticercosis
title_full A Rare Case Report of Ruptured Cyst Presenting With Acute Meningitis in an Untreated Neurocysticercosis
title_fullStr A Rare Case Report of Ruptured Cyst Presenting With Acute Meningitis in an Untreated Neurocysticercosis
title_full_unstemmed A Rare Case Report of Ruptured Cyst Presenting With Acute Meningitis in an Untreated Neurocysticercosis
title_short A Rare Case Report of Ruptured Cyst Presenting With Acute Meningitis in an Untreated Neurocysticercosis
title_sort rare case report of ruptured cyst presenting with acute meningitis in an untreated neurocysticercosis
topic Infectious Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7945967/
https://www.ncbi.nlm.nih.gov/pubmed/33728172
http://dx.doi.org/10.7759/cureus.13222
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