Doctors suspected man had brain cancer. He had worms

(arstechnica.com)

61 points | by Bender 9 hours ago

7 comments

  • sva_ 8 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 6 hours 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 6 hours ago
      That's pretty much the only way norovirus spreads, and it's common enough to kill ~200,000 people a year.
    • eschulz 6 hours ago
      Moral of the story, eating shit and undercooked meat come with risks.
    • aaron695 1 hour ago
      [dead]
    • htx80nerd 8 hours ago
      [flagged]
      • vkou 8 hours ago
        Where did you/your ancestors migrate from, and did any of them do any work at any point?
  • woadwarrior01 7 hours 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 7 hours ago
      Do you take it even if you don't have any symptoms?
      • woadwarrior01 6 hours ago
        Yes. 400mg prophylactic dose, once every year.
    • tristor 5 hours ago
      I have often thought it might be a wise idea to do some form of prophylactic course against parasitic infections given my extensive travels, but this isn't something that's generally recommended here in the US and I've yet to meet a doctor who would be willing to prescribe deworming without evidence of an active infection. Is this something that's common in India?
      • uh_uh 5 hours ago
        AFAIK there is no prophylactic for pork tapeworms. I'd love to be proven wrong.
      • snootypoot 2 hours ago
        the american medical system claims parasites are more uncommon than being struck by lightning, yet we see how easily pets spread worms to each other. i cant help but assume there is some hidden motive in gaslighting people that pets can get worms and spread them to each other but not to the owners they live with.
  • ramon156 8 hours ago
    But actually, it was lupus
  • thelastgallon 8 hours ago
    Sounds like a Dr. House episode.
  • mhb 7 hours ago
    Why did they use CT before MRI?
    • bdcravens 7 hours 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 6 hours ago
    if the worms are in the brain the man is likely not fine and won't ever be like before
    • tim-tday 2 hours ago
      The brain is remarkably good at recovering from injury and mapping functions around damaged areas. There have been dozens of reported cases of massive one time injuries that people are able to recover from. Kill the worms and I bet he makes a full recovery.
    • dlcarrier 6 hours ago
      Half the time, there aren't any symptoms at all: https://pmc.ncbi.nlm.nih.gov/articles/PMC4621219/
      • retinaros 5 hours ago
        I guess the symptoms might be super hard to identify. llike a cognitive decline on some functions.
  • tamimio 8 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 8 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 8 hours ago
        Thanks and glade he made it!
      • busymom0 4 hours ago
        Do the worms disappear after these drugs? Or they just die and are left in the brain?
        • snootypoot 2 hours ago
          they slowly decay and the immune system removes the remains. it can cause a toxicity shock called the herxheimer effect, the body often has symptoms when removing decaying foreign matter and the stored toxins they release. often parasite decomposition results in a sudden release of heavy metals and other things which accumulate in parasites. people try to use binding agents to aid in detoxing during this time to minimize fever and joint swelling and other signs of severe inflammation.