alexa Neurocysticercosis Diagnosed in a Patient with Taenia saginata Taeniasis after Administration of Praziquantel: A Case Study and Review of the Literature
ISSN: 2167-1079

Primary Healthcare: Open Access
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Review Article

Neurocysticercosis Diagnosed in a Patient with Taenia saginata Taeniasis after Administration of Praziquantel: A Case Study and Review of the Literature

Toni Wandra1*, Raka Sudewi2, Ni Made Susilawati2, Kadek Swastika3, I Made Sudarmaja3, Luh Putu Eka Diarthini3, Ivan Elisabeth Purba1, Munehiro Okamoto4, Christine M. Budke5 and Akira Ito6

1NorthSumatra, Sari Mutiara Indonesia University, Indonesia

2Department of Neurology, Sanglah Hospital, Udayana University, Denpasar, Bali, Indonesia

3Department of Parasitology, Udayana University, Denpasar, Bali, Indonesia

4Section of Wildlife Diversity, Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Japan

5Department of Veterinary Integrative Biosciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA

6Department of Parasitology, Asahikawa Medical University, Asahikawa, Japan

*Corresponding Author:
Toni Wandra
Department of Parasitology
Asahikawa Medical University, Asahikawa, Japan
E-mail: [email protected]

Received date: June 03, 2016; Accepted date: July 12, 2016; Published date: July 19, 2016

Citation: Wandra T, Sudewi R, Susilawati NM, Swastika K, Sudarmaja IM, et al. (2016) Neurocyticercosis Diagnosed in a Patient with Taenia saginata Taeniasis after Administration of Praziquantel: A Case Study and Review of the Literature. Primary Health Care 6:231. doi:10.4172/2167-1079.1000231

Copyright: © 2016 Wandra T, et al. 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.




Taeniasis, caused by infection with Taenia saginata or Taenia solium, occurs on Bali due to the consumption of undercooked beef and pork, respectively. Fieldwork conducted on Bali from 2002-2007, identified 69 taeniasis cases due to T. saginata. In August 2007, three T. saginata tapeworm carriers in the Gianyar district of Bali were treated with a single dose of praziquantel. Within a few hours of treatment, a 47 year old man had a seizure and was admitted to a hospital in the city of Denpasar. A computed tomography (CT) scan revealed two cystic lesions in the man’s brain. Serology showed specific antibody responses to T. solium metacestode antigens. The patient was, therefore, diagnosed with a dual infection of T. solium neurocysticercosis (NCC) and T. saginata taeniasis. This case report is illustrative of the risk of veiled NCC in areas where T. saginata and T. solium are co-endemic. As globalization increases, the possibility of co-infections will continue to rise and researchers and physicians participating in mass drug administration programs will need to be vigilant in their monitoring for adverse effects.


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