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Question

Consider the following statements with regard to cysticercosis : 

1. It may present as personality change. 

2. Subcutaneous nodule may excised for histology. 

3. Cerebral signs commonly do not occur until the larvae die, 5-20 years later. 

4. Praziquantel can be given for 10 days. 

Which of the statements given above are correct?

The correct answer is
1, 2, 3 and 4

Statement 1: Personality Change Presentation

Cysticercosis, particularly when it affects the central nervous system (neurocysticercosis), can cause inflammation and lesions in the brain. These can lead to various neurological symptoms, including cognitive and personality changes.

Statement 2: Histological Diagnosis of Nodules

Subcutaneous nodules are sometimes formed by cysticercus cysts. Excising these nodules and examining them histologically is a method used to confirm the diagnosis of cysticercosis.

Statement 3: Delayed Cerebral Signs

Symptoms of neurocysticercosis often manifest years after infection. The onset of significant cerebral signs typically occurs when the cysts begin to degenerate or die, triggering an inflammatory response in the brain tissue. This process can take several years, often ranging from 5 to 20 years.

Statement 4: Praziquantel Treatment Duration

Praziquantel is an antiparasitic medication used to treat cysticercosis. A treatment course typically involves administration for a duration of 10 days.

Conclusion

All four statements accurately describe aspects of cysticercosis, covering its potential clinical presentation, diagnostic methods, the timeline for symptom development, and treatment protocols.

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Important Questions from Metazoan Infections

  1. Which among the following is the first intermediate host for the parasitic fluke Clonorchis sinensis?
  2. Which among the following are hepatobiliary flukes (trematodes)? 

    1. Clonorchis sinensis 

    2. Mansonella perstans 

    3. Fasciola hepatica 

    4. Opisthorchis felineus 

    Select the correct answer using the code given below:

  3. Which among the following parasitic helminths is a nematode and has zoonotic transmission?
  4. Which of the following statements are correct in respect of scabies? 

    1. Male mite Sarcoptes scabiei are commonly transferred from an infected person to a non-infected person. 

    2. Norwegian scabies occur in immunodeficient patients. 

    3. Permethrin cream (5%) is used for treatment. 

    4. Pruritus intensifies at night and after hot shower. 

    Select the answer using the code given below :

  5. Consider the following statements with regard to cutaneous larva migrans : 

    1. It is one of the commonest linear lesions seen in travellers. 

    2. It may be associated with a recent visit to a beach. 

    3. It is non-pruritic. 

    4. Track moves across the skin at a rate of 2-3 cm/day. 

    Which of the statements given above are correct?

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