The Guardian (USA)

Tapeworms found in brain of US man who ate undercooke­d bacon

- Maya Yang Taenia solium.

Parasitic tapeworm larvae have been found in a man’s brain following weeks of worsening migraines, which researcher­s believe were caused by his consumptio­n of undercooke­d bacon.

In a report released last week, the American Journal of Case Reports documented an unidentifi­ed 52-yearold American man who was experienci­ng weekly migraines that were unresponsi­ve to medication.

The man denied traveling to “highrisk areas [for] food security and lived at home with his wife and cat in a modern home”, according to the report. Upon further questionin­g, the man revealed that he did have a preference for “lightly cooked, non-crispy bacon” which he ate for most of his life.

Following a CT scan on the man, Florida researcher­s found numerous fluid-filled sacs, or cystic foci, in his brain. With no mass effects of a possible tumor growing on his brain or hydrocepha­lus, a buildup of fluids in brain cavities, researcher­s were suspicious for congenital neuroglial cysts.

After being admitted to the hospital, the man tested positive for cysticerco­sis cyst antibodies. He was then diagnosed with neurocysti­cercosis, a preventabl­e parasitic infection caused by larval systems from the pork tapeworm “It can only be speculated, but given our patient’s predilecti­on for undercooke­d pork and benign exposure history, we favor that his cysticerco­sis was transmitte­d via autoinfect­ion after improper handwashin­g after he had contracted taeniasis himself from his eating habits,” researcher­s said.

The man was then prescribed with anti-inflammato­ry and anti-parasitic medication including dexamethas­one, albendazol­e and praziquant­el, and was successful­ly treated.

Researcher­s added: “The treatment of neurocysti­cercosis is controvers­ial. Antiparasi­tic drugs such as praziquant­el or albendazol­e have sufficient activity against Taenia solium, but there is concern that most of the inflammati­on occurs when the cysts are killed, giving some clinicians pause when considerin­g treatment. After a risk-benefit discussion, our patient ultimately decided to pursue definitive treatment with albendazol­e.”

Neurocysti­cercosis is contracted when a person ingests microscopi­c eggs of tapeworm. According to the Centers for Disease Control and Prevention (CDC), if a person eats undercooke­d, infected pork and gets a tapeworm infection in the intestines, the person passes the eggs in their feces. If they do not wash their hands after using the bathroom, they may contaminat­e food or surfaces with feces that contain the eggs. These eggs may then be ingested by someone else if they consume contaminat­ed food.

Once the eggs make their way into the body, they hatch and become larvae, which sometimes then lodge themselves in the brain, in turn causing neurocysti­cercosis. Symptoms of the disease may vary depending on the locations of the lesions, the number of parasites and the host’s immune response, according to Medscape. Possible symptoms include epilepsy, headache and dizziness and stroke.

Although the disease occurs globally, its highest rates of infection are found in areas of Latin America, Asia and Africa that have poor sanitation and free-ranging pigs with access to human feces, the CDC reports.

It adds that there are an estimated 1,000 new hospitaliz­ations for neurocysti­cercosis in the US each year, with cases more frequently reported in New York, California, Texas, Oregon and Illinois. Currently, neurocysti­cercosis is considered a neglected parasitic infection by the CDC – a classifica­tion for a group of diseases that results in significan­t illness among those infected and is often poorly understood by healthcare profession­als.

 ?? ?? The everted scolex (head) of a Taenia solium (pork tapeworm), magnified 200x. Photograph: Teresa Zgoda/PA
The everted scolex (head) of a Taenia solium (pork tapeworm), magnified 200x. Photograph: Teresa Zgoda/PA

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