Unusual finding of muscular cysticercosis and Mönckeberg's sclerosis in an older adultwith muscle pain
DOI:
https://doi.org/10.15381/anales.v85i2.27427Keywords:
Monckeberg Medial Calcific Sclerosis, Neurocysticercosis, Cysticercosis, Taeniasis, MyalgiaAbstract
Elderly diabetic woman admitted for urinary tract infection. During her hospitalization she reported muscle pain and limitation of ambulation associated with diabetic neuropathy. Due to coxarthrosis, simple radiography of the hip and femur was performed, showing calcifications in the shape of "grains of rice" distributed in soft tissues, thorax and brain. The findings were compatible with muscular cysticercosis and neurocysticercosis and he received symptomatic treatment. Mönckeberg's sclerosis was identified, which consists of calcification of the middle layer of small and medium caliber arteries, which in the patient were the radial, femoral and iliac arteries, confirmed with an ankle-brachial index of 1.4. Calcified plaques were also identified in the aorta and trunk of the pulmonary artery, so combined treatment with statin and antiplatelet agents was initiated, in addition to the control of comorbidities, including muscle pain of a multicausal nature.
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