Neurosurg Focus. 2019 Jan 1;46(1):E12. doi: 10.3171/2018.10.FOCUS18472.
OBJECTIVEAlthough parasitic infections are endemic to parts of the developing world and are more common in areas with developing economies and poor sanitary conditions, rare cases may occur in developed regions of the world.METHODSArticles eligible for the authors' literature review were initially searched using PubMed with the phrases "parasitic infections" and "spine." After the authors developed a list of parasites associated with spinal cord infections from the initial search, they expanded it to include individual diagnoses, using search terms including "neurocysticercosis," "schistosomiasis," "echinococcosis," and "toxoplasmosis."RESULTSTwo recent cases of parasitic spinal infections from the authors' institution are included.CONCLUSIONSKey findings on imaging modalities, laboratory studies suggestive of parasitic infection, and most importantly a thorough patient history are required to correctly diagnose parasitic spinal infections.
目的
虽然寄生虫感染在发展中国家的某些地区流行,并且在经济欠发达和卫生条件较差的地区更为常见,但在世界上发达地区也可能出现罕见病例。
方法
作者最初使用 PubMed 搜索了符合条件的文献,使用的短语是“寄生虫感染”和“脊柱”。在作者从最初的搜索中确定了与脊髓感染相关的寄生虫列表后,他们使用了包括“神经囊虫病”、“血吸虫病”、“包虫病”和“弓形体病”等单独诊断的搜索词对其进行了扩展。
结果
纳入了作者所在机构的两例寄生虫性脊柱感染的近期病例。
结论
正确诊断寄生虫性脊柱感染需要影像学检查的关键发现、提示寄生虫感染的实验室研究,最重要的是全面的病史。