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Am. J. Trop. Med. Hyg., 81(3), 2009, pp. 449-451
Copyright © 2009 by The American Society of Tropical Medicine and Hygiene

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CASE REPORT


Neurocysticercosis in the Infant of a Pregnant Mother with a Tapeworm

Deborah Asnis, Jordan Kazakov, Tamar Toronjadze, Caryn Bern, Hector H. Garcia, Isabel McAuliffe, Henry Bishop, Lillian Lee, Rami Grossmann, Minerva A. Garcia, AND David Di John*
Flushing Hospital Medical Center, Flushing, New York; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Cysticercosis Unit, Instituto de Ciencias Neurologicas and Department of Microbiology, Universidad Peruana Cayetano Heredia, Lima, Peru; Public Health Laboratory, New York City Department of Health and Mental Hygiene, New York, New York

 

ABSTRACT

Taeniasis occurs after ingestion of undercooked pork infected with cysticerci. Most Taenia solium infections are mild; proglottids are rarely noticed in the feces. Cysticercosis develops with ingestion of eggs from a tapeworm carrier. Cysticercosis affects ~50 million people worldwide, and is seen mostly in Central and South America, sub-Saharan Africa, India, and Asia. We present a case of an 18-month-old child living in New York, who presented with seizures caused by neurocysticercosis. A family study found a 22-year-old mother, 7 months pregnant, positive for T. solium, which presented a management dilemma.

Received April 24, 2009. Accepted for publication April 29, 2009.

Acknowledgments: The American Committee on Clinical Tropical Medicine and Travellers’ Health (ACCTMTH) assisted with publication expenses.

* Address correspondence to David Di John, Department of Pediatrics, Flushing Hospital Medical Center, 4500 Parsons Blvd., Flushing, NY 11355. E-mail: daviddijohn516{at}aol.com

Authors’ addresses: Deborah Asnis, Jordan Kazakov, Tamar Toronjadze, Rami Grossmann, Minerva A. Garcia, and David Di John, Flushing Hospital Medical Center, Flushing, NY. Caryn Bern, Isabel McAuliffe, and Henry Bishop, Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, GA. Hector H. Garcia, Cysticercosis Unit, Instituto de Ciencias Neurologicas and Department of Microbiology, Universidad Peruana Cayetano Heredia, Lima, Peru. Lillian Lee, Public Health Laboratory, New York City Department of Health and Mental Hygiene, New York, NY.






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Copyright © 2009 by the American Society of Tropical Medicine and Hygiene.