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[尸检中脑和心脏囊尾蚴病(猪囊尾蚴)的发生情况]

[Occurrence of encephalic and cardiac cysticercosis (Cysticercus cellulosae) in necropsy].

作者信息

Lino R S, Reis M A, Teixeira V P

机构信息

Departamento de Ciências Biológicas, Faculdade de Medicina do Triângulo Mineiro, Uberaba, MG, Brasil.

出版信息

Rev Saude Publica. 1999 Oct;33(5):495-8. doi: 10.1590/s0034-89101999000500009.

DOI:10.1590/s0034-89101999000500009
PMID:10576752
Abstract

OBJECTIVE

To review the incidence and pathologic findings of cysticercosis diagnosed at autopsies, with emphasis on the most common organs affected.

METHODS

Reports of 1.596 autopsies performed between 1974 and 1997 at a school hospital in Uberaba, MG, Brazil were studied. The following data were obtained: age, sex, ethnic group, body mass index, and the site of the cysticercosis.

RESULTS

The study found diagnosis of cysticercosis in 53 autopsies (3.3%). The average age of patients with cysticercosis was 50 (range: 15 to 86 years); 62.3% were male, and 64.1% Caucasian. The most affected organs were: brain (79.2%), heart (22.6%), skeletal muscle (11.3%), and other organs (5.7%). No statistical differences were found comparing age, gender, ethnic group, and body mass index of the affected and the non-affected patients. In two cases of neurocysticercosis the lesions were located in the ventromedial nucleus of the hypothalamus.

CONCLUSION

Both the overall incidence of cysticercosis and the incidence of cardiac cysticercosis were greater in the study than in other autopsy series from the same geographic areas. In two cases there was an association between hypothalamic cysticercosis and obesity

摘要

目的

回顾尸检诊断的囊尾蚴病的发病率及病理表现,重点关注受影响最常见的器官。

方法

研究了1974年至1997年在巴西米纳斯吉拉斯州乌贝拉巴市一家学校医院进行的1596例尸检报告。获取了以下数据:年龄、性别、种族、体重指数以及囊尾蚴病的发病部位。

结果

该研究在53例尸检(3.3%)中发现了囊尾蚴病诊断。囊尾蚴病患者的平均年龄为50岁(范围:15至86岁);62.3%为男性,64.1%为白种人。受影响最严重的器官为:脑(79.2%)、心脏(22.6%)、骨骼肌(11.3%)和其他器官(5.7%)。在比较患病和未患病患者的年龄、性别、种族和体重指数时未发现统计学差异。在两例神经囊尾蚴病病例中,病变位于下丘脑腹内侧核。

结论

该研究中囊尾蚴病的总体发病率和心脏囊尾蚴病的发病率均高于来自同一地理区域的其他尸检系列。在两例病例中,下丘脑囊尾蚴病与肥胖之间存在关联

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