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Man’s Migraines Traced to Tapeworm Larvae in Brain, Likely From Consuming Undercooked Bacon

**Key Takeaways:**

– A man in Florida developed severe migraines due to parasitic tapeworm larvae in his brain, linked to consuming undercooked bacon.
– Initial diagnosis was challenging, with CT scans revealing multiple cysts in the brain, leading to a suspicion of a rare condition before identifying the parasitic infection.
– The condition, known as neurocysticercosis, is a result of ingesting tapeworm eggs, leading to larval cysts in the brain, muscles, or tissues.
– Despite not having typical risk factors, the man’s preference for lightly cooked bacon and poor hand hygiene practices were identified as the likely cause of his condition.
– Treatment involved steroids and anti-parasitic medication, which led to an improvement in his symptoms and a reduction in brain cysts.
– Neurocysticercosis is preventable through proper cooking of meat and good hygiene practices, as emphasized by the CDC.

In a startling medical case, a man from Florida experienced a significant worsening of his migraine headaches, which led to the discovery of parasitic tapeworm larvae residing in his brain. This month, the American Journal of Case Reports published findings attributing the man’s condition to his consumption of undercooked bacon.

The 52-year-old, whose identity remains undisclosed, sought medical attention as his migraines, occurring almost weekly, became intolerably painful and unresponsive to conventional treatments. A subsequent CT scan revealed the presence of multiple cysts in his brain, initially leading doctors to suspect a rare neurological disorder. However, further examination at an Orlando hospital unveiled the true culprit: parasitic tapeworm larvae causing neurocysticercosis, an infection stemming from the ingestion of tapeworm eggs.

Neurocysticercosis, a form of cysticercosis that specifically affects the brain, is a significant cause of seizures in adults within regions plagued by poor sanitation. The condition arises when tapeworm eggs, passed through the feces of an infected individual, are ingested and develop into larval cysts within the body.

Interestingly, the affected man did not exhibit the usual risk factors associated with this condition, such as travel to endemic areas or exposure to poor sanitary conditions. His lifelong habit of consuming lightly cooked bacon, however, was pinpointed as the likely source of his infection. Researchers suggest that the man could have contracted an intestinal tapeworm from the undercooked meat and subsequently autoinfected himself due to inadequate handwashing practices.

Upon diagnosis, the man underwent treatment with steroids and anti-parasitic medications, which led to a marked improvement in his headaches and a reduction in the size of the brain cysts.

This case underscores the rarity of neurocysticercosis in the United States and highlights its preventability. The CDC advises cooking meat to safe temperatures and practicing good hygiene, including thorough handwashing, to avoid such parasitic infections.