Silent Intruder: Unusual Presentation of Neurocysticercosis in an HIV-Infected Patient from the Far Northern Brazilian Amazon

• Published in: Medicina (Kaunas, Lithuania) Lithuania), 2024-03, Vol.60 (3), p.489
• Main Authors: Galan, Luis E B, Gerolin, Letícia R M, Carvalho, Tháilla J M, Filardi, Eloise T M, Ramos, Dafnin L S, Dantas, Domingos S M, Carbonell, Roberto C C, Cerni, Felipe A, Pucca, Manuela B
• Format: Article
• Language: English
• Subjects: Acquired immune deficiency syndrome; Adult; AIDS; Amazon; Animals; Asymptomatic; Atazanavir; Brazil; Case Report; Central Nervous System; Cerebrospinal fluid; Convulsions & seizures; Cysticercosis; extraparenchymal manifestation; Health aspects; HIV; HIV (Viruses); HIV infection; HIV Infections - complications; HIV patients; Human immunodeficiency virus; Humans; Hydrocephalus; Hypertension; Immune system; Infection; Infections; Magnetic resonance imaging; Male; Mortality; Nervous system; neurocysticercosis; Neurocysticercosis - complications; Neurocysticercosis - diagnosis; Neurocysticercosis - parasitology; Parasites; Parasitic diseases; parasitic infection; Patients; Public health; Roraima; Seizures (Medicine); subarachnoid; Taenia solium; Tomography; Tuberculosis; Viral infections
• ISSN: 1648-9144; 1010-660X; 1648-9144
• DOI: 10.3390/medicina60030489

Neurocysticercosis, a parasitic infection of the central nervous system (CNS), is a significant public health issue globally, including in Brazil. This article presents a case report of a 44-year-old male patient residing in the rural area of Roraima, the northernmost region of Brazil within the Amazon Forest. The patient, with chronic HIV infection, acquired the helminth, resulting in neurocysticercosis development. Remarkably, the diagnosis of neurocysticercosis was not initially apparent but emerged through meticulous analysis following a motorcycle accident. The absence of seizures, a common clinical manifestation, complicated the diagnostic process, making it an uncommon case of NCC, which may be related to co-infection. As the patient's condition progressed, multiple complications arose, requiring additional medical attention and interventions. This case underscores the immense challenges faced by healthcare teams in managing neurocysticercosis effectively. It emphasizes the critical need for a comprehensive, multidisciplinary approach to provide optimal care for such complex cases. The study's findings underscore the importance of raising awareness and implementing improved strategies for tackling neurocysticercosis, particularly in regions where it remains a prevalent concern.