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Medicine News Science

California's Unspoken Health Problem: Brain Parasites 313

An anonymous reader writes "Sunnyvale, California is a town 40 miles outside of San Francisco, in the Bay Area. As in most of California, the weather is mild, and the winters are short, even sometimes warm. On December 20, Sara Alvarez took her youngest child for a walk in the park in town. As daylight faded, Alvarez lost feeling in her right leg, then her left foot. Her body became numb, and she became weak. At 10:15 pm, her husband drove her to a hospital in Redwood City, about 20 minutes away from their town. There, over the course of Christmas, doctors batted around diagnoses: tumor, cancer. Finally, Alvarez received a brain scan that revealed the truth: neurocysticercosis, a calcified tapeworm in her brain (link contains images of brain surgery)."
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California's Unspoken Health Problem: Brain Parasites

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  • by the_humeister ( 922869 ) on Friday September 07, 2012 @06:24PM (#41267921)

    This comes from pork, so don't eat undercooked pork. Tapeworms, in general, come from raw/undercooked meat. Pigs just happen to harbor the ones that sometimes go to person's brain.

  • by morcego ( 260031 ) on Friday September 07, 2012 @06:28PM (#41267973)

    There is a tapeworm that comes from cow meet also, although it is less aggressive and rarer than the pork one. So yeah, I agree the most likely cause if poorly cooked pork meat.

  • Re:Obligatory (Score:5, Informative)

    by ackthpt ( 218170 ) on Friday September 07, 2012 @06:40PM (#41268095) Homepage Journal

    After RTFA I, for one, DO NOT welcome our new brain parasite overloards

    ...the trouble with tapeworms occurs when they reproduce. The host expels thousands of the tapeworms' larvae out of their anus, possibly infecting other people.

    Don't walk around bare foot.

    Don't eat raw vegetables from fields people or dogs poop in

    Don't eat raw meat.

    Get regular checkups, you can always ask for blood tests to see if you have blood parasites.

  • by ackthpt ( 218170 ) on Friday September 07, 2012 @06:44PM (#41268141) Homepage Journal

    I don't get it. The immigrants are transmitting tapeworms to Californian pigs? Or directly transmitting them to purebred but presumably cannibalistic Californians? Or people are eating immigrants' lunches?

    Transmitting between people, not so hard if you live in undeveloped conditions. If your toilet is close to where you grow/raise your own food you're going to get something eventually. This is why proper disposal of human waste is important and using uncomposted manure for fertilizer is such a bad idea.

  • by geekoid ( 135745 ) <dadinportland&yahoo,com> on Friday September 07, 2012 @06:59PM (#41268297) Homepage Journal

    By clean I mean healthy.

    " "stuffed full of antibiotics and raised in atrocious conditions"?"
    please show me scientific evidences that causes any harm in the person eating the pork.

    I know your an ninny who takes what fits a preconcieved bias instead of actually looking at research and think. Unlike you, other people reading this are capable of thinking., so for their sake, some facts:

    Antibiotics are given strategically, administered when pigs are sick, susceptible or exposed to illness. It's not just given to them willy-nilly.

    Using antibiotics strategically has given us in the US the safest pork in the world.
    Antibiotics are give under strict guidelines, and only antibiotics that the FDA approves for use in pigs.

    Over 20 years pork has gotten safer and healthier.

    decades of study and work has given us a time where you caqn actual get safe rare cooked park, and a bunch of scientific illiterate yahoos want to throw us back to the 50s.

  • Summary troll (Score:5, Informative)

    by GoodNicksAreTaken ( 1140859 ) on Friday September 07, 2012 @07:22PM (#41268579)
    Alvarez says she experienced debilitating headaches for 20 years before her diagnosis, but she probably consumed tapeworm eggs much earlier than that. When Alvarez immigrated to the United States in the late 1980s she complained to American doctors of a pain so absolute it blinded her and made her vomit.

    The parasites apparently were contracted outside of the United States according to the article contrary to all of the other comments and contrary to what the Slashdot summary seems to imply.
  • by Anonymous Coward on Friday September 07, 2012 @08:15PM (#41269101)
    Effectiveness of dried Carica papaya seeds against human intestinal parasitosis: a pilot study.: http://www.ncbi.nlm.nih.gov/pubmed/17472487 [nih.gov]
  • Re:Obligatory (Score:5, Informative)

    by 0111 1110 ( 518466 ) on Friday September 07, 2012 @08:35PM (#41269269)

    Don't walk around bare foot.

    Aren't you thinking of hookworms?

    Don't eat raw vegetables from fields people or dogs poop in

    Dogs? Because only dogs can have tapeworm infections? If you want to be safe you should avoid eating any raw vegetables that weren't grown somewhere protected from wild animals. Like hydroponic or greenhouse vegetables.

    Don't eat raw meat.

    Or rare meat. The core of the meat has to reach a high enough temperature [foodsafety.gov] to reliably kill the parasites. 145F for pork and fish. 165 for everything else. Note that chefs routinely go lower than these temperatures in order to avoid tough, leathery meat. I would imagine that fish tapeworms are the most common in the US since cooking fish too long will ruin it. And then of course there is sushi.

    Get regular checkups, you can always ask for blood tests to see if you have blood parasites.

    Blood tests are not considered reliable [medscape.com]

    Eosinophil counts are not diagnostically reliable. Eosinophilia is sporadically present and does not correlate with the severity of the infection. Eosinophil counts also do not help in monitoring treatment modalities.

  • by jeffasselin ( 566598 ) <cormacolinde@gma ... com minus author> on Friday September 07, 2012 @11:31PM (#41270559) Journal

    You are lying, anyone taking 1 minute searching on Google can find articles like this one:

    http://www.scientificamerican.com/article.cfm?id=our-big-pig-problem [scientificamerican.com]

    That explains quite clearly how US producers use low dosage antibiotics to fatten animals. Some other countries may do the same, but many do not.

    And the problem is not direct harm to the end consumer, but to the environment as well as creating a breeding ground for antibiotic-resistant bacteria that might then infect people - infections that cannot be treated using common antibiotics because they are resistant.

  • Re:Obligatory (Score:4, Informative)

    by Anonymous Coward on Saturday September 08, 2012 @12:22AM (#41270819)

    Fish tapeworms won't be found in sushi -- fish sold for raw consumption has to be frozen to kill the parasites.

  • Re:Obligatory (Score:3, Informative)

    by Anonymous Coward on Saturday September 08, 2012 @12:23AM (#41270823)

    In the United States, sushi fish must be deep-frozen before being served, at a low enough temperature and long enough duration to kill all parasites.

  • Re:At Some Point... (Score:2, Informative)

    by Anonymous Coward on Saturday September 08, 2012 @04:09AM (#41271699)

    Its about the doctor realising that the person who came to them multiple times with "Debilitating headaches" might actually have this condition

    Lots of people have debilitating headaches. To a reasonable approximation, no one gets neurocysticercosis. There are at least three orders of magnitude between "debilitating headaches" (lowballing at 1% per year, 1:100) and neurocysticercosis (overgenerously, 1:100,000 per year). That means at least 1000 MRIs on people with "debilitating headaches" to find one case of neurocysticercosis. At $2000 per MRI, that works out to $2,000,000 just for the MRIs. Or you could give all 1000 people steroids and antiparasitics and get X number of bone fractures, Y number of hyperglycemic episodes, Z number of psychotic episodes, AA number of opportunistic infections, BB cases of severe diarrhea, etc. etc., all on people who don't have neurocysticercosis. Neurocysticercosis doesn't get diagnosed until there are focal neurological signs, or other red flags, that lead down the "brain mass" diagnostic route.

    This is why extremely rare disease with extremely common symptoms don't get diagnosed early. It would be malpractice, immensely wasteful and harmful, to test and treat someone for every 1:100,000 disease for their headache before working through all of the more common ailments, because 99.999% of the time they don't have the 1:100,000 disease.

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