Part of this material was presented as a poster at the 21st ECCMID/27th ICC, Milan, Italy (P866, page S211).
Three Cases of Imported Neurocysticercosis in Northern Italy
Article first published online: 10 SEP 2013
© 2013 International Society of Travel Medicine
Journal of Travel Medicine
Volume 21, Issue 1, pages 17–23, January/February 2014
How to Cite
Giordani, M. T., Tamarozzi, F., Cattaneo, F. and Brunetti, E. (2014), Three Cases of Imported Neurocysticercosis in Northern Italy. Journal of Travel Medicine, 21: 17–23. doi: 10.1111/jtm.12066
- Issue published online: 3 JAN 2014
- Article first published online: 10 SEP 2013
- Manuscript Accepted: 24 JUN 2013
- Manuscript Revised: 20 JUN 2013
- Manuscript Received: 7 JAN 2013
Background. Neurocysticercosis (NCC) is an important cause of adult-onset seizures in endemic areas, whereas it is emerging in some nonendemic areas as well because of extensive immigration.
Method. We describe three cases of imported NCC recently admitted to San Bortolo Hospital in Vicenza, located in Northern Italy.
Results. All patients were immigrants. One patient was human immunodeficiency virus positive with severe immunosuppression. The diagnosis of NCC was made on the basis of magnetic resonance results; failure of anti-Toxoplasma, antitubercular, and antifungal therapy; and regression of the cystic lesions after empiric therapy with albendazole. Serology was positive in only one case. In one patient, NCC was diagnosed by biopsy of the brain lesion.
Conclusion. In nonendemic countries, NCC should be included in the differential diagnosis of all patients coming from endemic areas with seizures, hydrocephalus, and compatible lesions on brain imaging. Long-term follow-up is required but may be difficult to implement because these patients tend to move in search of employment. Screening of patient's household contacts for Taenia solium infection should always be carried out.