A rare case of disseminated cysticercosis
A 36-year-old male was admitted to our hospital with complaints of multiple palpable nodular lesions all over the body, of a two-year duration, which gradually increased in number and size. He also complained of progressive loss of memory and judgment since six months. On clinical examination there were multiple palpable nodular lesions all over the body, predominantly seen over the back region, neck, chest, abdominal wall, forearms, and arms. They were varying in size from 0.5 to 4 cm and were well-defined. Venous prominence was clearly visible over the affected areas. Muscular pseudohypertrophy was also seen in the neck and arm region along with nodules [Figures and ]. On central nervous system (CNS) examination, the patient had mild-to-moderate deficit in attention, orientation, memory, and judgment.\nRoutine hematological investigations showed hemoglobin to be 9.5 g/dl and the total leukocyte count (TLC) was within normal limits. The differential leukocyte count (DLC) showed borderline eosinophilia (7%).\nAll other investigations were within normal limits. Computerized tomography (CT) scan of the brain showed multiple cystic lesions scattered throughout the brain parenchyma, with some showing eccentric calcified focus, suggestive of neurocysticercosis (scolex and calcified stage) []. The CT scan also showed involvement of the temporalis muscle, massetor muscle, the posterior neck muscles on both sides, and the superior oblique muscle on the left side. A chest X-ray showed a patch of pneumonitis on the right paracardiac region. The left lung and cardiophrenic angles were clear. An abdominal ultrasound showed no intra-abdominal lesion. Multiple small cystic lesions were seen in the subcutaneous planes. Excision of a single lesion on the forearm was done and sent for histopathology.