Forma miopática da cisticercose

Abstract

A ocorrência de manifestações clínicas durante a evolução de cisticercose muscular tem sido verificada em reduzido número de pacientes. Tivemosa oportunidade de estudar um caso com infestação muscular maciça que julgamos de interesse relatar. Hemossedimentação:54 mm na primeira hora. Na urina: sedimento, 10 a 15 leucó-citos com raros agrupamentos e 1 e 2 hemácias por campo; pesquisas de substân-cias proteicas e redutores negativas. No sangue: uréia 12,8 mg/100 ml; creatinina 1,0 mg/100 ml; glicose 80 mg/100 ml; fosfatase alcalina 1,9 UR/100 ml; fosfora inorgânico 3,4 mg/100 ml; transaminase glutâmico-oxalacética 16 U. Reitman-Fran-

Generalized muscular pseudohypertrophy in cysticercosis

“…Jolly & Pallis (1971) reviewed seven such previously reported cases and presented two more all from India. since then, two other patients from this country (Rao et al, 1972;Sawhney et al, 1976) and one from Brazil (Armburst-Figueiredo et al, 1970) have been reported. The scanty literature on muscle cysticercosis provides limited information and the pathogenesis of the condition is rather uncertain.…”

Disseminated muscular cysticercosis with myositis induced by praziquantel therapy.

“…[5][6][7][8] The muscle biopsy is usually normal, with no pathologic evidence of denervation, dystrophic change, or hypertrophy, 7 but Sawhney and others 5 reported active myositis with changes in muscle fibers apart from an inflammatory reaction around cysts in a patient with pseudohypertrophic myopathy.…”

Uncommon Clinical Manifestations of Cysticercosis

“…[254,[291][292][293][294][295][296] The clinical features depend on the location of the cyst, the cyst burden, and the host reaction but most of patients' present painless, rubbery nodules around 2 cm in diameter, which do not carry any risk to the patient's health or can present pseudotumor, mass, pseudohypertrophy [295][296][297][298] and myalgias. [298] A positive diagnosis is established solely by incision and examination of the interior, where the parasite will be found.…”

“…Clinical manifestations include vague abdominal discomfort, tender or painless nodules. This presentation is more commonly seen in patients presenting disseminated cysticercosis [283,292,293,[296][297][298][300][301][302][303] rather than isolated cysticercosis. [277-282, 286-289, 294] …”