Neurocysticercosis in a Child Living in the Urban Community of Yaoundé, Cameroon: A Case Report in a Low Resource Setting
American Journal of Pediatrics
Volume 6, Issue 2, June 2020, Pages: 91-93
Received: Feb. 7, 2020;
Accepted: Feb. 20, 2020;
Published: Mar. 6, 2020
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Georges Pius Kamsu Moyo, Department of Paediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
Audrey Thérese Mbang, Department of Paediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
Laura Kuate Makowa, Department of Paediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
Raïssa Monayong Mendomo, Department of Paediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
Sonia Zebaze, Department of Paediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
Hubert Désiré Mbassi Awa, Department of Paediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
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Background: Neurocysticercosis is a helminthiasis of public health interest in developing countries, where it is potentially responsible for 70% of epilepsy cases. Clinical presentations are diverse and depend on central nervous system localization of the parasite. The diagnosis is based on a number of factors including environmental context, clinical presentation, radiological imaging and serology. The treatment is often medical, with surgery being left for specific cases. Holistic prevention involves prophylaxis, treatment of asymptomatic carriers and reinforcement of health education. Method: We report a case of neurocysticercosis being responsible for a curable form of epilepsy in a Cameroonian child living in the urban community of Yaoundé. The patient was treated exclusively by medical means involving curative and symptomatic medications over a period of 21 days. Results: By the end of the treatment, the patient clinically recovered, though some residual latent cerebral sequels persisted. Conclusion: Neurocysticercosis may be found in children living in urban communities, causing neuropsychic disorders among which epilepsy. Prompt diagnosis may be aided by cerebral radiological imaging such as CT-scan or MRI. The management may be exclusively medical with complete recovery. However, primary prevention is a relevant intervention that may be done by proper disposal of human and animal faeces, rigorous hygiene, effective meat cooking before consumption, health education and prophylaxis with anthelmintics.
Cysticercosis, Neurocysticercosis, Epilepsy, Cameroon
To cite this article
Georges Pius Kamsu Moyo,
Audrey Thérese Mbang,
Laura Kuate Makowa,
Raïssa Monayong Mendomo,
Hubert Désiré Mbassi Awa,
Neurocysticercosis in a Child Living in the Urban Community of Yaoundé, Cameroon: A Case Report in a Low Resource Setting, American Journal of Pediatrics.
Vol. 6, No. 2,
2020, pp. 91-93.
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Lagueste M: La neurocysticercose humaine en 2015: etude retrospective de 4 cas pris en charge au CHU de Rouen de 2011 à 2015. Thesis. Université de Rouen 2015; 122p.
Singhi P, Singhi S. Neurocysticercosis in children. J Child Neurol, 2004; 19: 92-482.
Scott J X, Devia A et al. A rare presentation of neurocysticercosis in a young child. J Trop Pediatr, 2005; 51: 5-254.
Castillo H. imaging of neurocysticercosis. Semin Roentgenol, 2004; 39: 73-465.
Del Brutto O H, Garcia H H. Neurocysticercosis in non endemic countries: time for a reappraisal. Neuroepidemioogy, 2012; 39: 145-6.
Zoli A D, Nguemkam et al. Neurocysticercosis and epilepsy in Cameroon. Trans R Soc Trop Med Hyg, 2003; 97 (6): 683-6.
Coyle C, Wittner M et al. Tropical infectious diseases: principles, pathogens and practice. Philadephia: Churchill Livingstone Guerant R, Walker D Weller P, editors 1999.
Ramirez-Bernudez J, Higuera J et al. Is dementia reversible in patients with neurocysticercosis. J Neurol Psychiatr, 2005; 76: 1164-6.
Neurocysticercosis in sub-saharan Africa: a review of prevalence, clinical characteristics, diagnosis and management. Technical University of munich, Bavaria, Germany.
Diagana M, Nsengiyumva G. Electroencephalogrammes réalisées chez 250 patients dans une zone d’endemie cysticerquienne au Burundi. Neurophysiol Clin, 2005; 35: 1-10.
Zhao S, Xu K. Changes in computed tomogram in cerebral parenchyma cysticercosis treated with albendazole. Zhon Ch Xue Jsh Ch Bi Z Zhi 1999; 390-3.
Talukdar B, Saxena A et al. neurocysticercosis in children: clinical characteristics and outcome. Am Trop Pediatr 2002; 22: 333-9.
Aguilar-Rebollero F, Meza-Lucas A et al. Evaluation of enzyme linked immunoelectrotransfer blot essay for diagnostic of neurocysticercosis in children. J Child Neurol, 2002; 17: 20-4016.
Agrawal S, Ranjam S et al. Ocular myocysticercosis: an unusual case of ptosis. Nepal J Ophtalmo, 2013; 5: 81-279.
Garcia H H, Gonzales I et al. Efficacy of combined antiparasitic therapy with praziquantel and albendazol for neurocysticercosis: a double–blind randomized controlled trial. Lancet Infect Dis, 2014; 14: 687-95.