Cerebral coenurosis mimicking hydatid disease - report of two cases from South India
Cerebral coenurosis mimicking hydatid disease - report of two cases from South India
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DOI：
10.5414/npp30028
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发表时间：
2011-01-01
影响因子：
1.1
通讯作者：
Shankar, S. K.
中科院分区：
文献类型：
--
作者：
Mahadevan, A.;Dwarakanath, S.;Shankar, S. K.
多头绦虫病是一种罕见的人畜共患疾病，由多头绦虫（膀胱虫）的幼虫形式引起，在养羊国家很常见，但人类感染很罕见。中枢神经系统受累产生巨大的囊肿，放射学上与包虫囊肿非常相似。大多数导致脑多头蚴的人类感染报告来自欧洲和非洲。我们报告两例脑多头蚴病从印度，第一个在一个55岁的男性提出了一个大的囊性病变，在右侧顶枕区，第二个发生在一个36岁的男性涉及左颞三角区，放射学上密切模仿包虫囊肿。组织学检查发现特征性的特征性的多头蚴与多个原绦虫内陷到一个大的囊肿内衬外表皮层。认识到这种罕见的寄生虫感染是重要的区别于更常见的包虫和巨大的囊尾蚴囊肿。
Coenurosis, a rare zoonotic disease caused by the larval form of Taenia multiceps (bladderworm) is common in sheep rearing countries, but human infections are rare. Central nervous system involvement produces large giant sized cysts that radiologically closely mimic hydatid cysts. Most human infections resulting in cerebral coenuri have been reported from Europe and Africa. We report two cases of cerebral coenurosis from India, the first in a 55-year-old male presenting with a large cystic lesion in the right parietooccipital region and the second occurring in a 36-year-old male involving the left temporal trigonal region, that radiologically closely mimicked hydatid cyst. Histopathologic examination revealed characteristic features of coenuri with multiple protoscolices invaginating into a large cyst lined by outer cuticular layer. Awareness of this rare parasitic infestation is important to discriminate from the more common hydatid and giant cysticercal cysts.