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[西班牙穆尔西亚的神经囊尾蚴病]

[Neurocysticercosis in Murcia (Spain)].

作者信息

Ruiz S, García-Vázquez E, Picazo R, Hernández A, Herrero J A, Gómez J

机构信息

Servicio Medicina Interna, Hospital Vega del Río Segura, Cieza, Murcia, España.

出版信息

Rev Clin Esp. 2011 Mar;211(3):133-8. doi: 10.1016/j.rce.2010.10.007. Epub 2011 Mar 5.

Abstract

INTRODUCTION

Neurocysticercosis (NC) is the most prevalent parasitic infection in the CNS. Its frequency in our environment has increased with migratory movements. The clinical and demographic characteristics of patients with NC attended in a third level hospital in an area with a high prevalence of immigrant have been analyzed.

PATIENTS AND METHODS

A retrospective study was done of the patients registered by the Coding Service of Virgen de la Arrixaca Hospital (January 2996 to December 2009), analyzing all the clinical histories of patients discharged with the primary or secondary diagnosis of neurocysticercosis. The most relevant epidemiological, diagnostic and therapeutic data were analyzed.

RESULTS

35 patients were included in the study. Of these, 24 were men, all coming from Latin America. The most prevalent onset was seizure episode (27 patients). The number of cases per year began to increase after 2002. Although only 21 of the cases had criteria to begin medical treatment with albendazole, it had been prescribed to 29 patients.

CONCLUSION

In Murcia, NC is mainly an imported disease. An increase in the annual incidence has been observed since 2002, parallel to the rise in the number of immigrants. Approximately 25% of the patients received treatment in spite of not having antiparasitic treatment indication.

摘要

引言

神经囊尾蚴病(NC)是中枢神经系统中最常见的寄生虫感染。随着人口迁移,其在我们所处环境中的发病率有所上升。我们分析了在一个移民高发地区的三级医院就诊的神经囊尾蚴病患者的临床和人口统计学特征。

患者与方法

对比维斯·德拉·阿瑞萨卡医院编码服务部门登记的患者(1996年1月至2009年12月)进行回顾性研究,分析所有以神经囊尾蚴病为主要或次要诊断出院的患者的临床病史。分析了最相关的流行病学、诊断和治疗数据。

结果

35名患者纳入研究。其中24名男性,均来自拉丁美洲。最常见的发病表现是癫痫发作(27例患者)。2002年后每年的病例数开始增加。尽管只有21例患者符合使用阿苯达唑开始药物治疗的标准,但已有29例患者被开具此药。

结论

在穆尔西亚,神经囊尾蚴病主要是一种输入性疾病。自2002年以来观察到年发病率有所上升,这与移民数量的增加同步。尽管约25%的患者没有抗寄生虫治疗指征,但仍接受了治疗。

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