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无声入侵者:来自巴西北部亚马孙地区的 HIV 感染患者中神经囊虫病的不寻常表现。

Silent Intruder: Unusual Presentation of Neurocysticercosis in an HIV-Infected Patient from the Far Northern Brazilian Amazon.

机构信息

Medical School, Federal University of Roraima, Boa Vista 69310-000, Roraima, Brazil.

Graduate Program in Bioscience and Biotechnology Applied to Pharmacy, School of Pharmaceutical Sciences, São Paulo State University (UNESP), Campus Araraquara, Araraquara 19060-900, São Paulo, Brazil.

出版信息

Medicina (Kaunas). 2024 Mar 16;60(3):489. doi: 10.3390/medicina60030489.

Abstract

Neurocysticercosis, a parasitic infection of the central nervous system (CNS), is a significant public health issue globally, including in Brazil. This article presents a case report of a 44-year-old male patient residing in the rural area of Roraima, the northernmost region of Brazil within the Amazon Forest. The patient, with chronic HIV infection, acquired the helminth, resulting in neurocysticercosis development. Remarkably, the diagnosis of neurocysticercosis was not initially apparent but emerged through meticulous analysis following a motorcycle accident. The absence of seizures, a common clinical manifestation, complicated the diagnostic process, making it an uncommon case of NCC, which may be related to co-infection. As the patient's condition progressed, multiple complications arose, requiring additional medical attention and interventions. This case underscores the immense challenges faced by healthcare teams in managing neurocysticercosis effectively. It emphasizes the critical need for a comprehensive, multidisciplinary approach to provide optimal care for such complex cases. The study's findings underscore the importance of raising awareness and implementing improved strategies for tackling neurocysticercosis, particularly in regions where it remains a prevalent concern.

摘要

脑囊虫病是一种中枢神经系统(CNS)寄生虫感染,是一个全球性的重大公共卫生问题,包括在巴西。本文报告了一个居住在巴西亚马逊森林北部罗赖马州农村地区的 44 岁男性患者的病例。该患者患有慢性 HIV 感染,感染了该蠕虫,导致了脑囊虫病的发展。值得注意的是,脑囊虫病的诊断最初并不明显,而是在摩托车事故后通过细致的分析才发现。没有癫痫发作,这是一种常见的临床表现,使诊断过程变得复杂,这是一种不常见的 NCC 病例,可能与合并感染有关。随着患者病情的发展,出现了多种并发症,需要额外的医疗关注和干预。该病例突出了医疗团队在有效管理脑囊虫病方面面临的巨大挑战。它强调了需要采取全面的多学科方法来为这种复杂病例提供最佳护理的重要性。该研究的结果强调了提高认识和实施改进策略来应对脑囊虫病的重要性,特别是在该病仍然是一个普遍关注的地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bbd/10972202/70febfdff694/medicina-60-00489-g001.jpg

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