Joubert J, Joubert M J, Lombaard C M
S Afr Med J. 1985 Jul 6;68(1):11-4.
The incidence of cysticercosis in South Africa may well be alarming. Cysticercosis of the central nervous system (CNS) is almost exclusively confined to the parenchyma of the brain. Before the introduction of computed tomography (CT), invasion of the CNS by the parasite could only be suspected on the basis of evidence of previous infestation. The use of praziquantel in the treatment of cysticercosis is a major step towards eradicating the disease, but to be effective treatment must take cognizance of reinfection, the allergic reaction caused by the dying parasites, and the possible need for repeated courses of treatment. The therapeutic regimen is outlined and the efficacy of the treatment as monitored by CT evaluated.
南非囊尾蚴病的发病率可能相当惊人。中枢神经系统(CNS)囊尾蚴病几乎仅局限于脑实质。在计算机断层扫描(CT)应用之前,仅能根据既往感染证据怀疑寄生虫侵入中枢神经系统。使用吡喹酮治疗囊尾蚴病是根除该疾病的重要一步,但要取得疗效,治疗必须考虑再感染、死亡寄生虫引起的过敏反应以及可能需要重复疗程治疗。文中概述了治疗方案,并对通过CT监测的治疗效果进行了评估。