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脑裂头蚴病的诊断与管理:一种罕见的脑部寄生虫感染

Diagnosis and management of cerebral sparganosis: An uncommon parasitic infection of the brain.

作者信息

Yang Eric, Lee Jonathan, Patel Vishal

机构信息

Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Mark and Mary Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, USA.

出版信息

Radiol Case Rep. 2022 Apr 4;17(6):1874-1880. doi: 10.1016/j.radcr.2022.02.084. eCollection 2022 Jun.

DOI:10.1016/j.radcr.2022.02.084
PMID:35401890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8990059/
Abstract

Cerebral sparganosis is a rare parasitic infection that can be difficult to diagnose due to similarities in clinical and imaging features with more common parasitic infections, such as neurocysticercosis, and other neurologic conditions. We present a case of a 61-year-old female with a verified case of cerebral sparganosis. We also review the current literature regarding the sparganosis infection process, imaging features, and unique therapeutic options. With awareness of the risk factors for cerebral sparganosis and consideration for this diagnosis when the response to therapy for other organisms appears suboptimal, the time to accurate diagnosis may be reduced, and treatment outcomes improved.

摘要

脑裂头蚴病是一种罕见的寄生虫感染,由于其临床和影像学特征与更常见的寄生虫感染(如神经囊尾蚴病)及其他神经系统疾病相似,因此可能难以诊断。我们报告一例61岁女性确诊为脑裂头蚴病的病例。我们还回顾了关于裂头蚴病感染过程、影像学特征及独特治疗选择的当前文献。了解脑裂头蚴病的危险因素,并在对其他病原体的治疗反应欠佳时考虑这一诊断,可能会缩短准确诊断的时间并改善治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/a900761c4df4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/ec92b075d175/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/943b1e73f2b5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/30132e2a670d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/a900761c4df4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/ec92b075d175/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/943b1e73f2b5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/30132e2a670d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c443/8990059/a900761c4df4/gr4.jpg

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本文引用的文献

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BMC Infect Dis. 2019 Aug 27;19(1):748. doi: 10.1186/s12879-019-4396-2.
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A comprehensive review of imaging findings in human cysticercosis.脑囊尾蚴病的影像学表现全面综述。
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Lancet Infect Dis. 2015 Oct;15(10):1226-1235. doi: 10.1016/S1473-3099(15)00133-4. Epub 2015 Sep 9.
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