Steven Doerr, MD, is a U.S. board-certified Emergency Medicine Physician. Dr. Doerr received his undergraduate degree in Spanish from the University of Colorado at Boulder. He graduated with his Medical Degree from the University Of Colorado Health Sciences Center in Denver, Colorado in 1998 and completed his residency training in Emergency Medicine from Denver Health Medical Center in Denver, Colorado in 2002, where he also served as Chief Resident.
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
In general, the prognosis for the majority of patients with cysticercosis is
excellent with proper management. Patients with NCC and seizures have a good
prognosis if the patient obtains antiseizure medications and if the acute lesion
clears on subsequent CT exams.
How is cysticercosis prevented?
The prevention of cysticercosis can be achieved through various measures
including the following:
Public education regarding the parasite and its route of transmission
Avoidance of raw or undercooked pork (USDA says safe cooked pork reaches 160
degrees F) in endemic areas
Avoidance of potential fecal-oral routes of
transmission through hand washing, good personal hygiene, as well as through the
proper handling and preparation of foods
Meat inspection and the proper disposal of infected meat in endemic areas
Improved sanitary measures for human waste disposal in endemic areas
Screening contacts of infected
individuals and instituting appropriate treatment
Developing a vaccine
for the prevention of cysticercosis, which may be used in the future; currently,
there is no vaccine approved for use in humans
Cysticercosis is a parasitic disease caused by the pork tapeworm, Taenia
Humans are infected by ingesting raw or undercooked pork, and
cysticercosis occurs after the ingestion of Taenia solium eggs.
of neurocysticercosis may include headaches, confusion, seizures, and vision
Cysticercosis is typically diagnosed based on the patient's symptoms
and imaging study results. Blood work is sometimes useful.
Cysticercosis may be
treated with medications, including anthelmintics, corticosteroids, and
anticonvulsants, while some patients may require surgery.
lead to neurologic and ocular complications, and rarely death.
can be prevented by educating individuals about proper food handling, avoidance
of raw or undercooked pork, and good personal hygiene.
Garcia, Hector H., Armando E. Gonzalez, Carlton A.W. Evans, Robert H. Gilman. "Taenia solium Cysticercosis."
The Lancet 361 Aug. 16, 2003: 547.<http://ftp.cdc.gov/pub/NCIDPD/Garcia%20cysticercosis%20review.pdf>.
Mansur, Mossammat, Martin Montes, and Linda Yancey. "Cysticercosis." eMedicine. July 25, 2008. <http://emedicine.medscape.com/article/215589-overview>.
Switzerland. World Health Organization. "Taeniasis/Cysticercosis." <http://www.who.int/zoonoses/diseases/taeniasis/en/>.
Tenzer, Ryan, and Howard Blumstein. "Cysticercosis." eMedicine. Apr. 28, 2009. <http://emedicine.medscape.com/article/781845-overview>.
United States. Centers for Disease Control and Prevention. "Cysticercosis." Mar. 31, 2008. <http://www.cdc.gov/ncidod/dpd/parasites/cysticercosis/factsht_cysticercosis.htm>.
United States. Centers for Disease Control and Prevention. "Cysticercosis." July 20, 2009. <http://www.dpd.cdc.gov/dpdx/html/imagelibrary/Cysticercosis_il.htm>.