Cysticercosis

from Wikipedia, the free encyclopedia
Classification according to ICD-10
B69 Cysticercosis
B69.0 Cysticercosis of the central nervous system
B69.1 Cysticercosis of the eyes
B69.8 Cysticercosis in other locations
B69.9 Cysticercosis, unspecified
ICD-10 online (WHO version 2019)

The cysticercosis ( cysticercosis ) is a storing the fin forms of the type Cysticercus ( "bubble worm") of tapeworms , in particular the Cyclophyllidea , in the tissues of an intermediate host . In principle, all tissues can contain cysts ; the subcutaneous tissue , muscles , liver , peritoneum and brain ( causing chronic lymphocytic meningitis or serous meningoencephalitis ) are more frequently affected. As a zoonosis , the cysticercosis of the pork tapeworm ( Taenia solium , Finne Cysticercus cellulosae ) is of particular importance.

Neurocysticercosis:
multiple fins in the brain ( MRI image )

The fin is first incised with connective tissue , then the connective tissue calcifies. Since the cyst carrier is only an intermediate host, it does not represent an evolutionary disadvantage for the worm to massively harm the intermediate host, even to kill it: a piece of game that is massively contaminated with muscular (or cerebral ) cysts is more likely to be hunted down and by hunters or Scavengers devoured. The tapeworm jumps back to its main host, to which it does little or no harm.

Cysticercosis is treated surgically or chemotherapy (with praziquantel or albendazole , in the case of intracranial pressure or arachnoiditis in the context of neurocysticercosis, possibly with the addition of prednisolone or dexamethasone ). The cyst can also be killed by radiation, but complications from the subsequent necrosis are to be expected.

See also

Cystic Echinococcosis - Alveolar Echinococcosis

Individual evidence

  1. Heinz-Walter Delank: Neurology. 5th, revised and supplemented edition. Enke, Stuttgart 1988, ISBN 3-432-89915-7 , pp. 141 and 148.
  2. ^ Marianne Abele-Horn: Antimicrobial Therapy. Decision support for the treatment and prophylaxis of infectious diseases. With the collaboration of Werner Heinz, Hartwig Klinker, Johann Schurz and August Stich, 2nd, revised and expanded edition. Peter Wiehl, Marburg 2009, ISBN 978-3-927219-14-4 , p. 290.