Doctors suspected man had brain cancer. He had worms

(arstechnica.com)

46 points | by Bender 3 hours ago

7 comments

  • sva_ 2 hours ago
    > The finding surprised the doctors since tapeworms aren’t endemic to Spain and he said he hadn’t traveled. However, the man may have been exposed during his work. Until 10-years prior, when he retired, he had worked in construction, often working alongside people who had migrated from regions where pork tapeworms (Taenia solium) are endemic. The parasitic worms can spread through the fecal-oral route. His doctors speculated his infection might have been a rare case of cryptic transmission from sharing meals and bathrooms with his coworkers, one of whom apparently had a tapeworm infection.

    yikes

    • VaderAi 43 minutes ago
      You are right about pork especially in foreign countries where no health standards parasites are known to exist in pork not to mention meningitis from pork as well.
      • dlcarrier 45 minutes ago
        That's pretty much the only way norovirus spreads, and it's common enough to kill ~200,000 people a year.
        • eschulz 29 minutes ago
          Moral of the story, eating shit and undercooked meat come with risks.
          • htx80nerd 2 hours ago
            [flagged]
            • vkou 2 hours ago
              Where did you/your ancestors migrate from, and did any of them do any work at any point?
          • woadwarrior01 1 hour ago
            This is a big fear of mine. I have a course of albendazole once every year just for this. It is de facto over the counter in India. I bought enough to last 4 years, the last time I was there.
            • aurareturn 1 hour ago
              Do you take it even if you don't have any symptoms?
              • woadwarrior01 38 minutes ago
                Yes. 400mg prophylactic dose, once every year.
            • ramon156 2 hours ago
              But actually, it was lupus
            • thelastgallon 3 hours ago
              Sounds like a Dr. House episode.
            • mhb 2 hours ago
              Why did they use CT before MRI?
              • bdcravens 1 hour ago
                Presumably what they had available. Since MRI machines (and qualified technicians) are much more expensive, it's not uncommon for smaller facilities to rely on mobile MRIs which aren't on-site every day.
              • retinaros 1 hour ago
                if the worms are in the brain the man is likely not fine and won't ever be like before
              • tamimio 2 hours ago
                Ok, and what happened to the man after? Did they remove it? Was he ok and back to normal or forever damaged?
                • throawayonthe 2 hours ago
                  > NCC can be serious, causing seizures, significant neurological deficits, cognitive decline, stroke, and other problems. But it can also be asymptomatic. The severity depends on where in the brain the worms settle. Luckily for the man, the effects were relatively mild. Doctors prescribed him two anti-parasitic drugs, and he recovered.

                  and here is the actual case report: https://wwwnc.cdc.gov/eid/article/32/7/26-0587_article

                  > We treated the patient successfully with albendazole (400 mg 2×/d) and praziquantel (1,200 mg 3×/d), alongside dexamethasone taper, without complications.

                  • tamimio 2 hours ago
                    Thanks and glade he made it!