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J Med Microbiol 55 (2006), 345-347; DOI: 10.1099/jmm.0.46381-0
© 2006 Society for General Microbiology
ISSN 0022-2615

Case Report

Cerebral mass in a 13-year-old girl following long-term sojourn in the Tropics

P. Klotz1, D. Tappe2, M. Abele-Horn2, M. Warmuth-Metz3, N. Sörensen4, C. P. Speer1 and H. J. Girschick1

Children's Hospital1 , Institute of Hygiene and Microbiology2 , Section of Neuroradiology, Department of Radiology3 and Section of Pediatric Neurosurgery, Department of Neurosurgery4 , University of Würzburg, Josef-Schneider-Str. 2, 97080, Wuerzburg, Germany

Correspondence
H. J. Girschick
Hermann.Girschick{at}mail.uni-wuerzburg.de

Received 24 October 2005
Accepted 9 November 2005

Cysticercosis of the central nervous system is the main cause of late-onset epilepsy in tropical countries. The case of a 13-year-old German girl with a generalized seizure following long-term sojourns in the Tropics is reported. Cranial imaging showed two cerebral lesions with central calcifications. Serological, molecular and cultural examination of cerebrospinal fluid and blood was negative for various parasites, fungi and bacteria including mycobacteria. Histopathological examination after neurosurgical resection revealed calcareous bodies pathognomonic for platyhelminths, in particular tapeworms. Taken together, the radiological and histopathological findings indicate infection with cysticerci, the larvae of Taenia solium.






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