Saldanha Virginia, Saldanha Galileu, Reys Roberto Pelegrino, Benson Constance Ann, Noormahomed Emília Virgínia
Hospital Central de Quelimane, Quelimane, Zambézia, Mozambique.
Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California, San Diego, USA.
EC Microbiol. 2018 Nov;14(11):736-740. Epub 2018 Oct 29.
Several studies suggest that neurocysticercosis might be one of the main reasons for onset of seizures in adolescents and young adults in Mozambique, however, no studies have evaluated the burden and impact of the disease in women of childbearing age. This is also true for other parasitic diseases such as toxoplasmosis, toxocariasis and onchocerciasis, although the latter has been reported in some regions in central and northern Mozambique. We describe herein an 18 year old female who was admitted to Hospital Central de Quelimane, Zambézia Province in Mozambique, 8 days after delivery with a misdiagnosis of eclampsia that turned out to be neurocysticercosis. We discuss challenges in the diagnosis of neurocysticercosis in women of childbearing age and the potential for missed diagnosis in those who present with eclampsia and other conditions associated with seizures.
多项研究表明，神经囊尾蚴病可能是莫桑比克青少年和青年癫痫发作的主要原因之一，然而，尚无研究评估该疾病对育龄妇女的负担和影响。对于其他寄生虫病，如弓形虫病、弓蛔虫病和盘尾丝虫病也是如此，尽管在莫桑比克中部和北部的一些地区已报告有盘尾丝虫病。在此，我们描述一名18岁女性，她在分娩8天后因误诊为子痫入住莫桑比克赞比西亚省基利马内中央医院，结果诊断为神经囊尾蚴病。我们讨论了育龄妇女神经囊尾蚴病诊断中的挑战，以及子痫和其他与癫痫发作相关疾病患者漏诊的可能性。
