infectious diseases
Coenurosis (Taenia multiceps, Taenia serialis, or Taenia brauni Infection)
Introduction
The tapewormsTaenia multiceps,Taenia serialis,Taenia brauni,andTaenia glomeratusare rare causes of human infection, which is acquired by accidental ingestion of eggs from dog feces. Canines are the definitive hosts for adultT. multiceps,T. seralis,T. brauni, andT. glomeratustapeworms; sheep, rabbits, and other herbivorous animals are intermediate hosts depending on the infecting tapeworm species. Unwitting ingestion of material contaminated by dog feces causes human disease. In humans, the larvae invade and form a cyst (coenurus) in the central nervous system, subcutaneous tissues, muscles, or eyes. Most cases occur in Africa, but some occur in sheep-raising areas of Europe and North and South America. Symptoms of coenurosis require several years to develop and depend on the organ infected. Involvement of the brain can cause increased intracranial pressure, seizures, loss of consciousness, and focal neurologic deficits. A coenurus in subcutaneous tissue or muscle may manifest as a fluctuant, tender nodule. If the eyes are involved, vision may be impaired. Clinically, coenuri may resemble lymphomas, lipomas, neurofibromas, or pseudotumors. Diagnosis of coenurosis is typically made after surgical removal, which is also the primary treatment. Surgery is typically done for symptomatic, space-occupying lesions. Upon removal, coenuri can usually be distinguished from cysticerci by the presence of multiple protoscolices. is not used in patients with intraocular coenurosis because dying parasites can trigger severe inflammation, resulting in loss of vision ( Reference ). 