SciELO - Scientific Electronic Library Online

 
vol.33 issue3Attempts for breeding triatominae in laboratory by means of "in vitro" feedingAssessment of 2nd Course of Public Health, Secretariat of Brasilia: a case study author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista do Instituto de Medicina Tropical de São Paulo

On-line version ISSN 1678-9946

Rev. Inst. Med. trop. S. Paulo vol.33 no.3 São Paulo May/June 1991

http://dx.doi.org/10.1590/S0036-46651991000300011 

REGISTRO DE CASOS

 

Un caso de infeccion humana por cisticerco racemoso cerebral de localizacion parenquimatosa en Valdivia, Chile

 

A case of human cerebral infection by parenchymal racemose cysticercus in Valdivia, Chile

 

 

Eduardo OrtegaI; Patricio TorresII

IInstituto de Neurología y Neurocirugía. Facultad de Medicina, Universidad Austral de Chile
IIInstituto de Parasitología. Universidad Austral de Chile. Casilla 567, Valdivia. Chile

 

 


RESUMEN

Se presenta un caso clínico de infección por cisticerco racemoso cerebral de localización parenquimatosa en un paciente de la ciudad de Valdivia (Chile) cuyo diagnóstico definitivo se efectuó a través del estudio morfológico del parásito. Se discute brevemente la escasa frecuencia de la localización parenquimatosa del cisticerco racemoso, así como su diagnóstico diferencial con otros estados larvarios de cestodos que desarrollan en el sistema nervioso.

Unitermos: Cisticercosis; Cysticercus racemosus parenquimatoso; Taenia solium; diagnóstico.


SUMMARY

A clinical case of cerebral infection by parenchymal racemose cysticercus, diagnosed by means of morphological characteristics in a patient of Valdivia city is described. The rare frequency of parenquimal location of racemose cysticercus as well as its differential diagnosis with other larval stages of cestodes that develop in the brain and its treatment are discussed.


 

 

Texto completo disponible sólo en PDF.

Full text available only in PDF format.

 

 

AGRADECIMIENTOS

Al Dr. Juan C. Weitz (Laboratorio de Referencia en Parasitología, Instituto de Salud Pública de Chile) por sus valiosas sugerencias al primer manuscrito de este trabajo.

 

REFERENCIAS BIBLIOGRAFICAS

1. ALI-KHAN, Z.; SIBOO, E.; MEEROVITCH, E.; FAUBERT, G. & FAUCHER, M.G. - Cysticercus racemosus in an eosinophilic phlegmon in the brain. Trans. roy. Soc. trop. Med. Hyg., 75: 774-779, 1981.         [ Links ]

2. BAILY, G.G.; MASON, P.R.; TRIJSSENAR, F.E. & LYONS, N.F. - Serological diagnosis of neurocysticercosis: evaluation of ELISA tests using cyst fluid and other components of Taenia solium cystecercus as antigens. Trans. roy. Soc. trop. Med. Hyg., 82: 295-299, 1988.         [ Links ]

3. BAILY, G.G. & LEVY, L.F. - Racemose cysticercosis treated with praziquantel. Trans. roy. Soc. trop. Med. Hyg., 83: 95-96, 1989.         [ Links ]

4. BEAVER, P.CH.; JUNG, R.C & WAYNE, E. - Parasitología clínica. 2ª ed. Barcelona, Editorial Salvat, 1986. p. 882.         [ Links ]

5. BERMAN, J.D.; BEAVER, P.C.; CHEEVER, A.W. & QUINDLEN, E.A. - Cysticercus of 60-milliliter volume in human brain. Amer. J. trop. Med. Hyg., 30: 616-619, 1981.         [ Links ]

6. COLLI, B.; ASSIRATI, J.; NILTON, E.; MARTELLI, N.; MACHADO, H. & BELLUCI, A. - Forma tumoral da neurocisticercose: exérese de cisticerco de 70x77 mm e tratamento com praziquantel. Arch. Neuro-psiquiat. (S.Paulo), 42: 158-165, 1984.         [ Links ]

7. COOK, G.C. - Neurocysticercosis: Parasitology, Clinical presentation, diagnosis, and recent advances in management. Quart. J. Med., 68: 575-583, 1988.         [ Links ]

8. DIAZ, G. - Parasitosis del sistema nervioso central. In: ATIAS, A. & NEGHME, A. ed. - Parasitología clínica. 2ª ed. Santiago, Editorial Mediterráneo, 1986. p. 509.         [ Links ]

9. ESCOBEDO, F. - Tratamiento de cisticercosis / taeniasis humana. In: FLISSER, A. & MALAGON, F. ed. - Cisticercosis humana y porcina. México, Editorial Limusa, 1989. p. 199-204.         [ Links ]

10. FLISSER, A. - Neurocysticercosis in Mexico. Parasit. Today, 4: 131-137, 1988.         [ Links ]

11. FLISSER, A. & LANALDE, C. - Cysticercosis. In: WALLS, K.W. & SCHANTZ, P.M., ed. - Immunodiagnosis of parasitic diseases. London, Academic Press, 1986. V.1, p. 109-161.         [ Links ]

12. FLISSER, A.; MADRAZO, I.; GONZALEZ, D.; SANDOVAL, M.; RODRIGUEZ-CARBAJAL, J. & DEDIOS, J. - Comparative analysis of human and porcine neurocysticercosis by computed tomography. Trans. roy. Soc. trop. Med. Hyg., 82: 739-742, 1988.         [ Links ]

13. GONZALEZ, D.; RODRIGUEZ-CARBAJAL, J.; ALUJA, A. & FLISSER, A. - Cerebral cysticercosis in pigs studied by computed tomography and necropsy. Vet. Parasit., 26: 55-71, 1987.         [ Links ]

14. JUNG, R.C.; RODRIGUEZ, M.A.; BEAVER, P.C.; SCHENTHAL, J.E. & LEVY, R.W. - Racemose cysticercus in human brain. A case report. Amer. J. trop. Med. Hyg., 30: 620-624, 1981.         [ Links ]

15. LOBATO, R.D.; LAMAS, E.; PORTILLO, J.M.; ROGER, R.; ESPARZA, J.; RIVAS, J.J. & MUÑOZ, M.J. - Hydrocephalus in cerebral cysticercosis. J. Neurosurg., 55: 786-793, 1981.         [ Links ]

16. RABIELA-CERVANTES, M.T.; RIVAS-HERNANDEZ, A.; RODRIGUEZ-IBAMA, J.; CASTILLO-MEDINA, S. & CANCINO, F. - Anatomopathological aspects of human brain cysticercosis. In: FLISSER, A.; WILLMS, K.; LACLETTE, J.P.; LARRALDE, C.; RIDAURA, C. & BELTRAN, F., ed. - Cysticercosis present state of knowledge and perspectives. London, Academic Press, 1982. p. 179-200.        [ Links ]

17. SCHENONE, H.; VILLARROEL, F.; ROJAS, A. & RAMIREZ, R. - Epidemiology of human cysticercosis in Latin America. In: FLISSER, A.; WILLMS, K.; LACLETTE, J.P.: LARRALDE, C.; RIDAURA, C. & BELTRAN, F., ed. - Cysticercosis present state of knowledge and perspectives. London, Academic Press, 1982. p. 25-38.         [ Links ]

18. SOTELO, J.; ESCOBEDO, F.; RODRIGUEZ-CARBAJAL, J.; TORRES, B. & RUBIO, F. - Therapy of parenchymal brain cysticercosis with praziquantel. New Engl. J. Med., 310: 1001-1007, 1984.         [ Links ]

19. TAGLE, I. - Enfermedades parasitarias de los animales domésticos. Santiago, Editorial Andrés Bello, 1972. p. 334.         [ Links ]

20. VASCONCELOS, D.; CRUZ-SEGURA, H.; MATEOS-GOMEZ, H. & ALANIS, G.Z. - Selective indications for the use of praziquantel in the treatment of brain cysticercosis. J. Neurol. Neurosurg. Psychiat., 50: 383-388, 1987.         [ Links ]

 

 

Recebido para publicação em 25/9/1990
Aprovado para publicação em 18/12/1990

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License