- Visibility 184 Views
- Downloads 203 Downloads
- Permissions
- DOI 10.18231/j.ijceo.v.11.i.3.35
-
CrossMark
Unveiling the unseen: Disseminated cysticercosis with ocular involvement disguised as circinate retinopathy
- Author Details:
-
Lavanya G *
-
Venkatesan C
-
Sagaya Amitha C
Lavanya G *
Cysticercosis, a parasitic disease caused by Taenia solium is a major preventable public health issue in the developing countries. It occurs due to poor sanitation via feco-oral contamination. Neurocysticercosis is the most common manifestation and dissemination is rare. Ocular cysticercosis has varied presentations based on site of involvement and host’s immune response, giving rise to diagnostic challenge to the health care providers. Cyst rupture leads to severe inflammation results in hemorrhages, exudates around the cyst which can resemble ring like pattern, thus mimic circinate retinopathy. Direct visualization of the cyst is often diagnostic of cysticercosis. We report a 52-year male who is known case of Diabetes mellitus presented with altered sensorium and diagnosed with disseminated cysticercosis (Neuro and Myo cysticercosis). Patient was started on treatment with Tab. Albendazole 400mg BD and Inj. Dexamethasone 8mg intravenous BD. Patient referred for ophthalmic examination. His UCVA 6/12 in both eyes and BCVA in both eyes 6/9, color vision impaired in both eyes (1/24). Fundus examination showed hard exudates in ring like pattern in both eyes and a greyish translucent cyst in inferonasal quadrant of left eye. Cysticercosis is one of the preventable causes of blindness. Thus, High suspicion and careful examination helps in timely intervention thereby preventing the morbidities.
References
- Centers for Disease Control and Prevention. Neurocysticercosis - Neglected Parasitic Infections in the United States. Division of Parasitic Diseases and Malaria, CDC. Available from: https://www.cdc.gov/parasites/npi/index.html.
- Grover AK, Puri P. Orbital Myocysticercosis presenting as subconjunctival abscess. Indian J Ophthalmol. 1996;44(4):229–31.
- Kumar A, Bhagwani DK, Sharma RK, Kavita, Sharma S, Datar S, et al. Disseminated cysticercosis. Indian Pediatr. 1996;33(4):337–
- Dhiman R, Devi S, Duraipandi K, Chandra P, Vanathi M, Tandon R, et al. Cysticercosis of the eye. Int J Ophthalmol. 2017;10(8):1319–
- Butala C, Brook TM, Majekodunmi AO, Welburn SC. Neurocysticercosis: current perspectives on diagnosis and management. Front Vet Sci. 2021;8:615703.
- Mahale RR, Mehta A, Rangasetty S. Extraparenchymal (racemose) neurocysticercosis and its multitude manifestations: a comprehensive review. J Clin Neurol. 2015;11(3):203–11.
- Li JJ, Zhang LW, Li H, Hu ZL. Clinical and pathological characteristics of intraocular cysticercosis. Korean J Parasitol. 2013;51(2):223–9.
- Del Brutto OH, Rajshekhar V, White AC Jr, Tsang VC, Nash TE, Takayanagui OM, et al. Proposed diagnostic criteria for neurocysticercosis. Neurology. 2001;57(2):177–83.
- García Franco R, Arias Gómez A, Guzman Cerda J, García Roa M, Ramirez Neria P. Submacular cysticercosis successfully treated through conservative management: case report. Case Rep Ophthalmol. 2020;11(2):315–21.
- Sharma R, Dey AK, Joshi K, Thakkar H. Ocular cysticercosis with intermittent blindness. Ann Parasitol. 2015;61(4):295–7.