Delayed Pediatric Diagnosis of Cysticercosis and Uveitis Presenting as Chronic Multifocal Subretinal Fluid Blebs. (March 2022)

• Record Type: Journal Article
• Authors: Li, Katie; Geddie, Brooke; Sutherland, Liliya; Sharma, Sumit; Srivastava, Sunil; Boss, Joseph
• Is Part Of: Journal of vitreoretinal diseases. Volume 6:Number 2(2022)
• Page Start: 147
• Page End: 150
• Publication Date: 2022-03
• Subjects: cysticercosis -- pediatric -- subretinal fluid blebs -- trauma; Retina -- Diseases -- Periodicals; Vitreous body -- Diseases -- Periodicals; Retina -- Diseases; Vitreous body -- Diseases; Periodicals; 617.735005
• DOI: 10.1177/24741264211022514
• Languages: English
• ISSNs: 2474-1264

Abstract

Purpose: To report an unusual case of intraocular cysticercosis in a 11-year-old boy that presented with chronic posterior uveitis and associated recalcitrant subfoveal and multifocal subretinal fluid blebs. The patient was later found to have a subsequent free-floating vitreous cyst that had been concealed from examination for years. Methods: Case report. Results: A diagnostic and therapeutic vitrectomy and cyst extraction revealed eosinophilic material suggestive of cysticercosis. Brain magnetic resonance imaging revealed suggestive neurocysticercosis and serological titers for cysticercosis immunoglobulin G were positive. After antihelminthic therapy and surgical removal of the cyst, the patient did well with complete resolution of multifocal subretinal fluid blebs and visual acuity improvement to 20/25. Conclusion: Ocular cysticercosis is a sight-threatening parasitic disease that can cause visually threatening manifestations if not identified and treated in a timely manner. Awareness of atypical presentations such as seen in this case in a pediatric patient is paramount.