Centro de Salud Global, Universidad Peruana Cayetano Heredia, Lima, Perú.
Department of Neurology, University of Cincinnati, Cincinnati, Ohio.
Am J Trop Med Hyg. 2024 Apr 23;110(6):1210-1213. doi: 10.4269/ajtmh.23-0856. Print 2024 Jun 5.
We explored the association between serological status for hepatitis E and neurocysticercosis (NCC) in neurologic patients attending a national neurological referral center in Lima, Perú, between the years 2008 and 2012. Anti-hepatitis E antibodies were evaluated in patients with and without NCC, and a control group of rural general population. Anti-hepatitis E IgG was found in 23.8% of patients with NCC, compared with 14.3% in subjects without NCC from a general rural population (P = 0.023) and 14.4% in subjects with neurological complaints without NCC (P = 0.027). Seropositive patients had a median age of 44 years compared with 30 years in seronegative patients (P <0.001). No significant differences in sex, region of residence, or liver enzyme values were found. Seropositivity to hepatitis E was frequent in this Peruvian population and higher in patients with NCC, suggesting shared common routes of infection.
我们在秘鲁利马的一家国家神经学转诊中心,对 2008 年至 2012 年间的神经科患者进行了研究,以探讨血清乙型肝炎 E 抗体与神经囊尾蚴病(NCC)之间的相关性。我们评估了患有和未患有 NCC 的患者以及农村普通人群对照组的抗乙型肝炎 E 抗体。患有 NCC 的患者中,抗乙型肝炎 E IgG 的检出率为 23.8%,而来自农村普通人群的无 NCC 患者的检出率为 14.3%(P=0.023),无 NCC 但有神经症状的患者的检出率为 14.4%(P=0.027)。血清阳性患者的中位年龄为 44 岁,而血清阴性患者的中位年龄为 30 岁(P<0.001)。在性别、居住地区或肝酶值方面未发现显著差异。乙型肝炎 E 血清阳性在秘鲁人群中较为常见,且在患有 NCC 的患者中更为常见,这表明两者可能具有共同的感染途径。