Ong Samuel, Talan David A, Moran Gregory J, Mower William, Newdow Michael, Tsang Victor C W, Pinner Robert W
Olive View-University of California at Los Angeles Medical Center, Sylmar, California 91342, USA.
Emerg Infect Dis. 2002 Jun;8(6):608-13. doi: 10.3201/eid0806.010377.
Neurocysticercosis appears to be on the rise in the United States, based on immigration patterns and published cases series, including reports of domestic acquisition. We used a collaborative network of U.S. emergency departments to characterize the epidemiology of neurocysticercosis in seizure patients. Data were collected prospectively at 11 university-affiliated, geographically diverse, urban U.S. emergency departments from July 1996 to September 1998. Patients with a seizure who underwent neuroimaging were included. Of the 1,801 patients enrolled in the study, 38 (2.1%) had seizures attributable to neurocysticercosis. The disease was detected in 9 of the 11 sites and was associated with Hispanic ethnicity, immigrant status, and exposure to areas where neurocysticercosis is endemic. This disease appears to be widely distributed and highly prevalent in certain populations (e.g., Hispanic patients) and areas (e.g., Southwest).
基于移民模式和已发表的病例系列(包括国内感染病例报告),神经囊尾蚴病在美国似乎呈上升趋势。我们利用美国急诊科的合作网络,对癫痫患者中神经囊尾蚴病的流行病学特征进行了研究。1996年7月至1998年9月期间,前瞻性地在美国11个大学附属医院、地理位置不同的城市急诊科收集数据。纳入接受神经影像学检查的癫痫患者。在纳入研究的1801例患者中,38例(2.1%)的癫痫发作归因于神经囊尾蚴病。在11个地点中的9个检测到了这种疾病,并且与西班牙裔种族、移民身份以及接触神经囊尾蚴病流行地区有关。这种疾病似乎广泛分布于某些人群(如西班牙裔患者)和地区(如美国西南部),且患病率很高。