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  1. Deaths are rare in neurocysticercosis

    I read with interest the case report about a fatal case of neurocysticercosis. I want to emphasize that deaths are rare in neurocysticercosis and in neurocysticercosis there is no malignant course. Lesion load seems to be quite low. In fact the patient not fully worked up for more likely diagnosis. For example miliary tuberculosis and miliary secondary malignancy. The CSF should have examined for malignant cells and Mycobacterium tuberculosis. X-ray chest would have revealed miliary lesions in lungs as well. Multiple tiny parenchymal rim-enhancing lesions are characteristically not seen in neurocysticercosis.

    Another point I want to mention is that neurocysticercosis can not occur via direct consumption of infected pork because a human is a definitive host and pork consumption will produce adult worms in human intestine. It will not lead to larval spread to brain.

    Conflict of Interest:

    None declared

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