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干预还是不干预:一例伴有脑室炎的症状性神经囊尾蚴病病例

To intervene or not to intervene: A case of symptomatic neurocysticercosis complicated by ventriculitis.

作者信息

Haq Syed H, Shah Sidra R, Bux Jannet, Le Anh Si, Golzarian Hafez, Mueller Daniel, Sreenan Joseph J, Patel Sandeep M, Laird Amanda, Cole William

机构信息

Department of Internal Medicine, BonSecour Mercy Health-St. Rita's Medical Center, Lima, OH, USA.

Department of Pathology Medicine, BonSecour Mercy Health-St. Rita's Medical Center, Lima, OH, USA.

出版信息

IDCases. 2023 Jan 20;31:e01702. doi: 10.1016/j.idcr.2023.e01702. eCollection 2023.

DOI:10.1016/j.idcr.2023.e01702
PMID:36747911
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9898726/
Abstract

Although well described in the current literature, Neurocysticercosis [NCC] remains an enigma when confronted by practitioners. This is in part due to the haphazard nature of the parasitic infection on the central nervous system [CNS]. These include single or multiple anatomic sites of infection, stage of parasitosis, and the resultant inflammatory response. As a result, NCC can present with a complex constellation of symptomatic presentations, making therapeutic regiments highly individualized. Despite intervention, other impediments may arise post-therapy due to the nature of the infection. We present a case of rapidly progressive symptomatic NCC that initially was successfully treated, however would eventually succumb to complications of ventriculitis.

摘要

尽管神经囊尾蚴病(NCC)在当前文献中有充分描述,但临床医生在面对它时仍感到困惑。这部分是由于寄生虫对中枢神经系统(CNS)感染的随机性。这些因素包括感染的单个或多个解剖部位、寄生虫病阶段以及由此产生的炎症反应。因此,NCC可能表现出一系列复杂的症状,使得治疗方案高度个体化。尽管进行了干预,但由于感染的性质,治疗后可能会出现其他障碍。我们报告一例快速进展的有症状NCC病例,该病例最初成功治疗,但最终死于脑室炎并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4950/9898726/2058b6a1be37/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4950/9898726/6f26e5b69e90/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4950/9898726/2058b6a1be37/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4950/9898726/6f26e5b69e90/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4950/9898726/2058b6a1be37/gr2.jpg

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To intervene or not to intervene: A case of symptomatic neurocysticercosis complicated by ventriculitis.干预还是不干预:一例伴有脑室炎的症状性神经囊尾蚴病病例
IDCases. 2023 Jan 20;31:e01702. doi: 10.1016/j.idcr.2023.e01702. eCollection 2023.
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本文引用的文献

1
Human Neurocysticercosis: An Overview.人类神经囊尾蚴病:概述
Pathogens. 2022 Oct 20;11(10):1212. doi: 10.3390/pathogens11101212.
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Neurocysticercosis. A frequent cause of seizures, epilepsy, and other neurological morbidity in most of the world.脑囊虫病。在世界上大多数地区,它是导致癫痫发作、癫痫和其他神经疾病的常见原因。
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Clinical symptoms, diagnosis, and treatment of neurocysticercosis.神经囊虫病的临床症状、诊断和治疗。
Lancet Neurol. 2014 Dec;13(12):1202-15. doi: 10.1016/S1474-4422(14)70094-8. Epub 2014 Nov 10.
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Neurocysticercosis: Five new things.神经囊尾蚴病:五个新进展。
Neurol Clin Pract. 2013 Apr;3(2):118-125. doi: 10.1212/CPJ.0b013e31828d9f17.
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Neurocysticercosis: neglected but not forgotten.神经囊尾蚴病:被忽视但未被遗忘。
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