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墨西哥杜兰戈精神分裂症住院患者中弓蛔虫感染的血清阳性率较低:一项病例对照研究。

Low seroprevalence of Toxocara infection in schizophrenic inpatients in durango, Mexico: a case control study.

作者信息

Alvarado-Esquivel Cosme, Hernández-Tinoco Jesús, Sánchez-Anguiano Luis Francisco, Cisneros-Martínez Jorge Arturo

机构信息

Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State, Durango, Mexico;

Institute for Scientific Research, Juárez University of Durango State, Avenida Universidad S/N. 34000 Durango, Dgo. Mexico.

出版信息

Int J Biomed Sci. 2014 Dec;10(4):269-71.

Abstract

Psychiatric patients have a higher seroprevalence of toxocariasis than general population. However, there is poor knowledge about any specific psychiatric diagnosis associated with toxocariasis. The aim of the study was to determine whether seropositivity to Toxocara was associated with schizophrenia. Through an age and gender-matched case-control seroprevalence study in Durango City, Mexico, 50 schizophrenic inpatients in a public psychiatric hospital and 100 control subjects of the general population were compared for the presence of anti-Toxocara IgG antibodies. One of the 50 (2%) schizophrenic inpatients, and 3 (3%) of the 100 controls were positive for anti-Toxocara IgG antibodies. No statistically significant difference in Toxocara seroprevalence among cases and controls was found (P=0.59). The Toxocara positive schizophrenic patient suffered from paranoid schizophrenia (F20.0) and had a number of putative risk factors for Toxocara exposure including contact with cats, dogs and other animals, worked in agriculture, and consumed undercooked meat, unwashed fruits and vegetables, and untreated water. Results suggest that seroprevalence of Toxocara infection was low and not associated with schizophrenia in psychiatric inpatients in Durango, Mexico. However, further studies to elucidate the association of toxocariasis with schizophrenia are needed.

摘要

精神科患者弓蛔虫病的血清阳性率高于普通人群。然而,对于与弓蛔虫病相关的任何特定精神科诊断,人们了解甚少。本研究的目的是确定弓蛔虫血清阳性是否与精神分裂症有关。通过在墨西哥杜兰戈市进行的一项年龄和性别匹配的病例对照血清阳性率研究,对一家公立精神病医院的50名精神分裂症住院患者和100名普通人群对照者进行了抗弓蛔虫IgG抗体检测。50名精神分裂症住院患者中有1名(2%),100名对照者中有3名(3%)抗弓蛔虫IgG抗体呈阳性。病例组和对照组之间弓蛔虫血清阳性率没有统计学上的显著差异(P=0.59)。弓蛔虫阳性的精神分裂症患者患有偏执型精神分裂症(F20.0),有一些可能接触弓蛔虫的危险因素,包括接触猫、狗和其他动物、从事农业工作以及食用未煮熟的肉类、未清洗的水果和蔬菜以及未经处理的水。结果表明,在墨西哥杜兰戈的精神科住院患者中,弓蛔虫感染的血清阳性率较低,且与精神分裂症无关。然而,需要进一步研究以阐明弓蛔虫病与精神分裂症之间的关联。

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