Cysticercosis screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Overview

Patients with cysticercosis and their household should be screened for intestinal tapeworm. High risk persons should be screened for cysticercosis if they are to be employed as food handlers or housekeepers.

Screening

  • Patients with cysticercosis, their household and other personal contacts should be screened for tapeworm infection since treatment with a single dose of niclosamide or praziquantel will eradicate the tapeworm and remove a potential source of transmission.
  • Consideration should be given to screening persons at high risk for T. solium infections for intestinal parasites if those persons are to be employed as food handlers or housekeepers.
  • Persons having household or other close contact (i.e., contact that exposes them to inadvertent infection through the fecal-oral route) with a person with a documented tapeworm should be screened for cysticercosis by medical history and serologic testing; if such an assessment suggests cysticercosis, neurologic examination and brain scan is advised.