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Volume 30, Number 3—March 2024
Dispatch

Taenia martis Neurocysticercosis-Like Lesion in Child, Associated with Local Source, the Netherlands

Hendriekje Eggink1, Miriam Maas1Comments to Author , Judith M.A. van den Brand, Jasja Dekker, Frits Franssen, Eelco W. Hoving, Laetitia M. Kortbeek, Mariëtte E.G. Kranendonk, Linda C. Meiners, Anne E. Rittscher, Jeroen Roelfsema, and Elisabeth H. Schölvinck
Author affiliations: University Medical Center Groningen, Groningen, the Netherlands (H. Eggink, L.C. Meiners, E.H. Schölvinck); National Institute for Public Health and the Environment, Bilthoven, the Netherlands (M. Maas, F. Franssen, L.M. Kortbeek, J. Roelfsema); Utrecht University, Utrecht, the Netherlands (J.M.A. van den Brand, A.E. Rittscher); Jasja Dekker Dierecologie B.V., Arnhem, the Netherlands (J. Dekker); Princess Maxima Center, Utrecht (E.W. Hoving, M.E.G. Kranendonk)

Main Article

Figure 1

Diagnostic imaging of the brain and cystic lesion resected from boy with neurocysticercosis-like lesion, the Netherlands. A) Axial computed tomography showing edema in the left temporal lobe with a barely visible hypointense round lesion with a noncalcified, isointense rim (arrow). B–F) Axial magnetic resonance images at slightly different levels through the cystic lesion with surrounding edema in the left temporal lobe, showing a hypointense ring on susceptibility-weighted image (B) using minimum intensity projection (arrow) and on T2-weighted image (C), suggestive of a fibrotic capsule. D) Three-dimensional T1-weighted image showing a slightly irregular enhancement of the rim. E, F) On diffusion-weighted image (E) and apparent diffusion coefficient map (F), the rim is isointense and central diffusion restriction is absent, excluding a bacterial abscess. G, H) Macroscopic picture of the lesion showing a round nodule (G) and a cyst-like lesion (H) on cut section with a white-greyish central area surrounded by a thin capsule. I, J) Microscopic images showing a necrotic core (1) surrounded by a rim of fibrosis (2) and a mixed inflammatory response (3) (I) and multinuclear foreign-body-type giant cells (J).

Figure 1. Diagnostic imaging of the brain and cystic lesion resected from boy with neurocysticercosis-like lesion, the Netherlands. A) Axial computed tomography showing edema in the left temporal lobe with a barely visible hypointense round lesion with a noncalcified, isointense rim (arrow). B–F) Axial magnetic resonance images at slightly different levels through the cystic lesion with surrounding edema in the left temporal lobe, showing a hypointense ring on susceptibility-weighted image (B) using minimum intensity projection (arrow) and on T2-weighted image (C), suggestive of a fibrotic capsule. D) Three-dimensional T1-weighted image showing a slightly irregular enhancement of the rim. E, F) On diffusion-weighted image (E) and apparent diffusion coefficient map (F), the rim is isointense and central diffusion restriction is absent, excluding a bacterial abscess. G, H) Macroscopic picture of the lesion showing a round nodule (G) and a cyst-like lesion (H) on cut section with a white-greyish central area surrounded by a thin capsule. I, J) Microscopic images showing a necrotic core (1) surrounded by a rim of fibrosis (2) and a mixed inflammatory response (3) (I) and multinuclear foreign-body-type giant cells (J).

Main Article

1These first authors contributed equally to this article.

Page created: January 31, 2024
Page updated: February 22, 2024
Page reviewed: February 22, 2024
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