School of Medicine, Universidad Espíritu Santo-Ecuador, Guayaquil, Ecuador.
Am J Trop Med Hyg. 2019 Apr;100(4):780-782. doi: 10.4269/ajtmh.18-0921.
A panel of experts from the Infectious Disease Society of America and The American Society of Tropical Medicine and Hygiene recently published guidelines for management of neurocysticercosis, showing that clinical manifestations as well as the stage of involution and the anatomical location of parasites must be taken into account before the start of a rational therapy. Soon thereafter, isolated opinions attempted to discredit these guidelines, arguing insufficient or inadequate evidence and suggesting that they should not be followed worldwide. In view of these conflicting reports, it is appropriate to review the origin and evolution of the controversy on the medical treatment of neurocysticercosis.
美国传染病学会和美国热带医学与卫生学会的专家组最近发布了关于神经囊虫病管理的指南,指出在开始合理治疗之前,必须考虑临床表现以及寄生虫的退化阶段和解剖位置。此后不久,一些孤立的意见试图诋毁这些指南,认为其证据不足或不充分,并建议不应在全球范围内遵循这些指南。鉴于这些相互矛盾的报告,有必要回顾一下关于神经囊虫病治疗的争议的起源和演变。