RESUMEN
La neurocisticercosis es una parasitosis de Sistema Nervioso Central endémica de países en vías de desarrollo que, debido a la inmigración, está aumentando su incidencia en países desarrollados. La clínica más frecuente es la epilepsia seguida de cefaleas o alteraciones neurológicas. Para su diagnóstico son necesarias pruebas de neuroimagen e investigación epidemiológica. El tratamiento, en los casos indicados, se basa en antiparasitarios asociados a corticoides, antiepilépticos y a veces cirugía. Presentamos el caso de un paciente sudamericano con neurocisticercosis asintomática que se diagnosticó gracias a las imágenes típicas que presentaba en la TAC y a la sospecha epidemiológica. Se decidió seguimiento clínico del paciente ya que no existía evidencia a favor de iniciar su tratamiento
Neurocysicercosis is a parasitic disease of the Central Nervous System endemic in undeveloped countries but it is increasing its incidence in developed countries due to immigration. Seizures are the most frequent clinical presentation followed by headache and neurological impairment. Neuroimaging and epidemiological search are needed to diagnosis. Treatments, in indicated cases, consist of antiparasitic and sometimes surgery. We report a case of a patient neurocysticercosis diagnosed by typical images in CT and epidemiological suspicion. Clinical following without treatment was decided because there is no evidence in favour of using antiparastic drugs in these patients
Asunto(s)
Humanos , Masculino , Adulto , Neurocisticercosis/diagnóstico , Taenia solium/aislamiento & purificación , Antiparasitarios/uso terapéutico , Corticoesteroides/uso terapéutico , Diagnóstico por Imagen/métodosRESUMEN
Inflammatory pseudotumour of lymph nodes is a benign type of lymphadenopathy recently described as a peculiar nodal reaction, which displays distinctive clinical and histological features. The origin of the disease is unknown although an inflammatory etiology has been suggested. We study a new case of inflammatory pseudotumour of lymph nodes which had an unusual clinical presentation, with lymphadenopathy on both sides of the diaphragm and enlargement of liver and spleen. In addition, focal fibrinoid vascular necrosis was observed on histological examination, an unusual finding which makes difficult the differential diagnosis with other lesions, particularly vasculitis.