NUNZIUM

In a groundbreaking medical discovery, a 64-year-old Australian woman was found to have a live parasitic roundworm, typically found in pythons, living in her brain. This is the first recorded instance of such a case, marking a significant milestone in medical history.

The woman, residing near a lake area in southeastern New South Wales, home to carpet pythons, likely contracted the 8-centimeter (3-inch) long Ophidascaris robertsi parasite by consuming Warrigal greens contaminated by python feces. This discovery was made by neurosurgeon Dr. Hari Priya Bandi during a brain surgery, highlighting a unique case of zoonotic disease, where diseases are transmitted from animals to humans.

The woman’s medical journey began in late January 2021 when she was admitted to a local hospital with symptoms of abdominal pain, diarrhea, dry cough, fever, and night sweats. Over the following months, her condition deteriorated, developing into forgetfulness and depression. An MRI scan in the Australian capital revealed the worm in the right frontal lobe of her brain. It was suspected that the parasite's larvae were also present in other organs, including the lungs and liver.

This case is distinct from neurocysticercosis, a condition caused by tapeworm larvae in the brain. The Ophidascaris infection does not transmit between people, but the presence of the snake and parasite worldwide highlights the potential for future similar instances. This case emphasizes the importance of thoroughly washing foraged food products to prevent cross-contamination.

During the operation, the live worm was extracted from the brain. Six months post-operation, the patient’s neuropsychiatric symptoms had improved but remained present. She was discharged with antiparasitic drugs and has not returned to the hospital since.

Roundworms are known to be resilient, capable of thriving in diverse environments. They can cause stomach pain, vomiting, diarrhea, appetite and weight loss, fever, and tiredness in humans. This case underscores the danger of zoonotic diseases and the importance of maintaining hygiene when foraging or handling food products.

Infectious diseases physician Prof Peter Collignon advises taking care when encountering animals and the environment, including washing foods thoroughly, cooking food properly, and wearing protection. The patient continues to recover and is regularly monitored.

In conclusion, this case serves as a stark reminder of the potential health hazards associated with increased human-animal interaction. As humans continue to explore and inhabit diverse ecosystems, it becomes crucial to be aware of these risks and take necessary precautions to ensure safety.