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以精神病为表现的神经囊尾蚴病:一例报告及文献综述

Neurocysticercosis presenting as psychosis: A case report and a brief literature review.

作者信息

Ahmed Saeed, Usmani Sadia, Javed Sana, Hans Aakash, Saboor Sundas, Hanif Aunsa, Saleem Sheikh Mohd, Shoib Sheikh

机构信息

Rutland Regional Medical Center, Rutland, VT, USA.

Psychiatry, Dow University of Health Sciences, Karachi, Pakistan.

出版信息

SAGE Open Med Case Rep. 2022 May 20;10:2050313X221100396. doi: 10.1177/2050313X221100396. eCollection 2022.

Abstract

Patients with neurocysticercosis, a common infection of the central nervous system caused by , have been reported to develop neuropsychiatric complications. We report a unique case of recurrent psychosis caused by neurocysticercosis in a 37-year-old El Salvador immigrant woman and discuss the underlying pathophysiological mechanisms of the complications. We reviewed published case reports of neurocysticercosis that presented with psychotic features and compared their diagnostic evaluation, the underlying pathophysiology of complications and treatment regimen with our case. This review concludes that neurocysticercosis should be considered in the differential diagnosis of patients presenting with psychosis with a history of residence in an endemic area.

摘要

神经囊尾蚴病是一种由[病原体未提及]引起的常见中枢神经系统感染,据报道,患有这种疾病的患者会出现神经精神并发症。我们报告了一例37岁的萨尔瓦多移民女性因神经囊尾蚴病导致复发性精神病的独特病例,并讨论了并发症的潜在病理生理机制。我们回顾了已发表的具有精神病特征的神经囊尾蚴病病例报告,并将其诊断评估、并发症的潜在病理生理学和治疗方案与我们的病例进行了比较。本综述得出结论,对于有流行地区居住史且出现精神病症状的患者,在鉴别诊断时应考虑神经囊尾蚴病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aab/9125614/6fcf2f40fb24/10.1177_2050313X221100396-fig1.jpg

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