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CysticercosisB69.8

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Cysticercosis; Fin Disease; Skin cysticercosis

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HistoryThis section has been translated automatically.

Tyson, 1683; Hartmann, 1685; Malpighi, 1698; Goeze, 1784; chef, 1855

DefinitionThis section has been translated automatically.

Disease caused by fins (especially of the porcine tapeworm).

PathogenThis section has been translated automatically.

Taenia solium, taenia saginata

EtiopathogenesisThis section has been translated automatically.

Oral uptake of the eggs of Taenia solium, rarely Taenia saginata. Also autoinfection by regurgitation with washout of the eggs into the stomach. Pig or cattle are the natural reservoir of the pathogen, humans act as intermediate hosts. The fins penetrate the intestinal wall and disseminate into various organs, mainly into the muscles, but also into the eyes, CNS, cutis and subcutis. S.a. Echinococcosis.

Clinical featuresThis section has been translated automatically.

Fleeting allergic phenomena. Skin lesions: Indolent, pea-sized to hazelnut-sized, roundish-oval, smooth, consistent, easily movable, cutaneous and subcutaneous nodules, especially on the upper half of the body.

DiagnosisThis section has been translated automatically.

  • X-ray: Calcified fins after 3-5 years
  • Liquor puncture and computer tomography with mainly CNS involvement
  • ELISA (70-80% sensitivity) or EITB (Enzyme-Linked Immunoelectrotransfer-Blot; sensitivity 90-95%)
  • Histology (fin detection)

Internal therapyThis section has been translated automatically.

  • Praziquantel (e.g. Cesol) 50 mg/day p.o. in 3 ED over 14 days with plenty of liquid.
  • Alternatively: Albendazole (e.g. Eskazole) 15 mg/kg bw/day p.o. for 28 days.
  • If necessary, interception of the accompanying symptoms by additional administration of glucocorticoids such as prednisone (e.g. Decortin) 40 mg/day with gradual dose reduction.
  • In case of neurological involvement or eye infestation, consult the relevant disciplines at an early stage.

ProphylaxisThis section has been translated automatically.

Abstention from eating raw meat.

LiteratureThis section has been translated automatically.

  1. Engels D et al (2003) The control of human (neuro) cysticercosis: which way forward? Acta Trop 87: 177-182
  2. Garcia HH et al (2003) Taenia solium cysticercosis. Lancet 362: 547-556
  3. Goeze JAE (1784) Latest discovery that the fins in pork are not a drusen disease but true bladder worms. Plate, Hall, p. 1-40
  4. Nash TE et al (2003) Human case management and treatment of cysticercosis. Acta Trop 87: 61-69
  5. Hartmann (Hartmannus) PJ (1685) Miscellanea curiosa sive Ephemeridum Medico-Physicarum Germanicarum Academiae Imperialis Leopoldinae Naturae Curiosorum Decuriae II. AnnusQuartus, Anni MDCLXXXV Observatorio LXXIII Joannis Ernesti Adelbulneri, Nuremberg pp. 152-157
  6. Küchenmeister F (1855) Experimental proof that Cysticercus cellulosae within the human Damar canal turns into Taenia solium. Vienna Med Weekly 5: 1-4
  7. Malpighi M (1698) Opera posthumous. Quibus praefixa est vita, a seipso scripta. A. & J Churchill, London
  8. Rajshekhar V et al (2003) Taenia solium taeniosis/cysticercosis in Asia: epidemiology, impact and issues. Acta Trop 87: 53-60
  9. Roth B et al (2003) Cysticercosis as a rare cause of a tumor of the tongue. Laryngorhinootology 82: 564-567
  10. Schantz PM et al (2003) The US Centers for Disease Control and Prevention (CDC) and research and control of cysticercosis. Acta Trop 87: 161-163
  11. Tyson E (1683) Lumbricus teres, or some anatomical observations on the round worm bred in human bodies Philos Trans R Soc (London) 13: 153-161
  12. Walrath JD et al (2003) Cysticercosis isolated to the orbit. Ophthal Plast Reconstr Surg 19: 243-244

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Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer