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Coenurosis on Central Nervous System

Article · September 2017

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Emda Zein Cik Fitria Yudha Nurdian

Universitas Jember Universitas Jember
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 Coenurosis on Central Nervous System

1
Emda Zein Cik Fitria and 2Yudha Nurdian

1
Student, Faculty of Medicine, University of Jember, Indonesia
2
Faculty of Medicine, University of Jember, Indonesia
Corresponding author: Emda Zein Cik Fitria, emdazein@gmail.com;
152010101119@students.unej.ac.id

Abstract
Background
Coenurosis is caused by infestation with the coenuri (metacestode or larval stage) of Taenia
multiceps, T. serialis, T. brauni, and T. glomerata. These four Taenia species are present in
the Americas, Europe, and Africa. Canids are the definitive hosts and a variety of mammals
as intermediate hosts. Human infestation results from accidental ingestion of eggs in
contaminated food or water. There are approximately 30 cases of human CNS coenurosis
reported in the scientific literature in South Africa, Europe, India, the USA, Brazil, and Israel.
T. multiceps is the only species reported to cause human CNS infection. Cerebral infestation
due to T. serialis has been reported in sheep. T. brauni has been reported in Central and South
Africa. T. glomeratus has been detected in the brain of nonhuman primates. Human CNS
infestation usually presents with severe headache, disturbances of personality, weight loss,
nuchal rigidity, and intracranial hypertension. Hemiparesis, weakness, and papilledema are
also common. The most effective treatment is surgery, and is often used to relieve intracranial
hypertension and remove the source of inflammation. Antiparasitic therapy with albendazole
and praziquantel has been successful in some patients.

Conclusion
This work explains how could coenuri infest humans and cause CNS infestation symptom.
Although, only T. multiceps reported to cause human CNS infestation, the other coenuri (T.
serialis, T. brauni, and T. glomerata) also noted to be the risk of infestation.

References
Lescano, A. G. and Zunt, J. 2013. Other Cestodes: Sparganosis, Coenurosis and Taenia
crassiceps Cysticercosis. In: Aminoff, M. J., Boller, F., and Swaab, D. F. (Eds.). Handbook
of Clinical Neurology, Vol. 114, Amsterdam: Elsevier. p. 335-345.

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