We report a case of binge eating disorder (BED) in a 19-year-old Spanish wo
man, whose onset followed a nowadays uncommon parasitic intestinal disease
(Taenia solium by cysticercosis). The patient exhibited bizarre and frequen
t hyperphagia episodes and extreme loss of weight, common symptoms of this
condition. The patient continued to have frequent binge episodes and inappr
opriate eating patterns, gaining weight consequently over a normal range, d
espite successful treatment of the condition. No purging behavior was detec
ted. A classical conditioning behavioral model, was useful for the understa
nding and formulation of this case. To the authors' knowledge, this is the
first reported case where a parasitic infestation triggered the onset of BE
D. (C) 2001 by John Wiley & Sons, Inc.