Undercooked Pork Led to Grandma's Seizure & Broken Hip скачать в хорошем качестве

Undercooked Pork Led to Grandma's Seizure & Broken Hip

For more content like this, click here to SUBSCRIBE to our channel:    / @medspiration   #doctor #pork #neuroscience 🩺🪧Diagnosis: L. hip fracture from a fall caused by a neurocystercosis induced seizure c/b disseminated cysticercosis acquired from pork tape-worm taenia solium 🪱 Life cycle of pork tape worm (Taenia solium): Patient has 2 separate infections caused by the same tape worm (tinea solium) leading to: 🍖🪱 Cysticercosis: ingestion of undercooked/raw infected pork➡️Tape worm embryos invade the bowel wall using their spikes (scolex) ➡️grow larger by feeding off host diet➡️ disseminate through blood into striated muscles, liver, &/or other tissues➡️in 3-8 weeks the tissue cysticerci develop (seen on imaging) 🧠🪱Neurocystercosis: consumption of parasite eggs from pork that was contaminated with feces of a person who is a tapeworm carrier (fecal-oral)➡️ingestion of eggs that cross the GI tract➡️migrating to the brain & crossing blood brain barrier➡️larval cysts (cysticerci) develop in the brain➡️seizures 🧪 Diagnostics: Stool test for ova & parasites Serologic testing (PCR, antigen or antibody detection for taenia solium) CSF fluid analysis (contraindicated in the setting of increased intracranial pressure) CT (identifying calcifications + parenchymal cysticerc) MRI (detecting small lesions, evaluating degenerative changes, detecting edema around calcified lesions, & visualizing scolices within calcified lesions) 💊 Treatment: Eye exam (exclude ocular cysticercosis which can threaten vision) Screening for latent tuberculosis infection as well as screening or empiric therapy for strongyloidiasis if they require Corticosteroids Corticosteroids if indicated Anti-seizure medications if indicated Antiparasitic therapy if indicated  — 7 to 14 days in most cases (commonly albendazole or praziquantel) Follow-up imaging ~every 6 months following completion of initial antiparasitic therapy, until there is resolution of the cystic lesion