Cardiac cysticercosis in the setting of colorectal cancer and immunosuppression


      Cysticercosis is a parasitic infection that is caused by the tapeworm Taenia solium and is prevalent in Latin America, southern Africa, and parts of Asia. Cysticercosis normally affects the central nervous system, but rare cases of cardiac cysticercosis have been reported in the literature. We report a case of asymptomatic cardiac cysticercosis in a 54-year-old Afro-Brazilian man with a history of hemicolectomy and chemotherapy, who demonstrated characteristic intramyocardial lesions on transthoracic echocardiogram and cardiac magnetic resonance imaging, and responded well to subsequent treatment with albendazole and prednisone.


      To read this article in full you will need to make a payment


        • Nunes M.C.P.
        • Guimarães M.H.
        • Diamantino A.C.
        • Gelape C.L.
        • Ferrari T.C.A.
        Cardiac manifestations of parasitic diseases.
        Heart. 2017; 103: 651-658
        • Shogan P.J.
        • Yasmer J.F.
        • Monson M.
        Cardiac cysticercosis.
        Am J Roentgenol. 2009; 192: 212-213
        • Groom Z.C.
        • Protopapas A.D.
        • Zochios V.
        Tropical diseases of the myocardium: a review.
        Int J Gen Med. 2017; 10: 101-111
        • Eberly M.D.
        • Soh E.K.
        • Bannister S.P.
        • Tavaf-Motamen H.
        • Scott J.S.
        Isolated cardiac cysticercosis in an adolescent.
        Pediatr Infect Dis J. 2008; 27: 369-371
        • Bastos A.L.
        • Marchiori E.
        • Gasparetto E.L.
        • Andrade B.H.
        • Junior G.C.
        • Carvalho R.C.
        • Escuissato D.L.
        • Souza A.S.
        Pulmonary and cardiac cysticercosis: helical CT findings.
        Br J Radiol. 2007; 80: e58-e60
        • Garcia H.H.
        • Gilman R.H.
        • Catacora M.
        • Verastegui M.
        • Gonzalez A.E.
        • Tsang V.C.
        Serologic evolution of neurocysticercosis patients after antiparasitic therapy. Cysticercosis working group in Peru.
        J Infect Dis. 1997; 175: 486-489
        • Néri A.K.M.
        • Lino D.O.C.
        • Veras S.S.
        • Silva R.P.
        • Silva G.B.S.
        • Morales-Montor J.
        • Landa A.
        • Terrazas L.
        Cardiac cysticercosis: current trends in diagnostic and therapeutic approaches.
        Current state of the art in cysticercosis and neurocysticercosis. IntechOpen, London2021
        • Jankharia B.G.
        • Chavhan G.B.
        • Krishnan P.
        • Jankharia B.
        MRI and ultrasound in solitary muscular and soft tissue cysticercosis.
        Skeletal Radiol. 2005; 34: 722-726
        • Spina R.
        • Sandaradura I.
        • Puranik R.
        • Lee A.S.
        Cardiac cysticercosis.
        Int J Cardiol. 2013; 168: 557-559
        • Kalra D.K.
        • Rao A.
        • Simms A.
        • Pierre-Louis A.
        Isolated cardiac cysticercosis: treatment with or without steroids?.
        Lancet. 2019; 393: 2439