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Czasopismo

2006 | 51 | 1 |

Tytuł artykułu

Clinical, epidemiological and laboratory criteria for the diagnosis of human cysticercosis in Brazilian patients

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Cysticercosis (CC) is a polymorphous disease, which makes its diagnosis difficult. This study had the objective of evaluating the clinical, epidemiological and laboratory criteria in human CC. An epidemiological questionnaire was applied, and indirect fluorescence antibody test (IFAT) and ELISA-IgG were utilized together with computerized tomography and/or magnetic resonance imaging on 90 patients with clinical signs suggestive of neurocysticercosis (NCC). Most patients had previously lived under deficient basic sanitary conditions. The imaging techniques showed that 92.2% of the cysticerci were in the cerebral parenchyma, 5.5% had a ventricular location, 1.1% were periventricular and 1% was ocular. The cysticerci were observed to be predominantly in the inactive phase. Seropositivity to the IFAT and/or ELISA was shown by 32.2% (29/90). Of the 29 seropositive patients, 72.4% presented cysticerci in the inactive form, and of the 61 seronegative patients, 78.7% also presented cysticerci in the inactive form. There was no correlation between active CC and seropositivity, since 72.4% of the seropositive patients presented calcified cysticerci. The results demonstrated that imaging techniques contributed significantly to elucidate the laboratorial diagnosis and to evaluate the stage of cysticercus development.

Wydawca

-

Czasopismo

Rocznik

Tom

51

Numer

1

Opis fizyczny

p.79-81,ref.

Twórcy

  • Universidade Federal de Goias, Rua 235 c/1S Avenida, s/n Setor Leste Universitario, 74-605-050 Goiania, GO, Brazil
autor
autor

Bibliografia

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  • Barbosa A.P., Campos D.M.B., Costa-Cruz J.M., Silva S.A. 1999. Prevalencia de anticorpos séricos e fatores de risco associados à infecçăo por Cysticercus cellulosae em amostra populational de Goiânia-GO. In: XVI Congresso Brasileiro de Parasitologia. Poços de Caldas-MG p. 123.
  • Carpio A. Neurocysticercosis: an update. 2002. Lancet Infectious Disease, 2, 751–762.
  • Del Brutto O.H., Wadia N.H., Dumas M., Cruz M., Tsang V.C., Schantz P.M. 1996. Proposal of diagnosis criteria for human cysticercosis and neurocysticercosis. Journal of the Neurological Sciences, 142, 1–6.
  • Del Brutto O.H., Rajshekhar V., White A.C. Jr., Tsang V.C., Nash T.E., Takayanagui O.M., Schantz P.M., Evans C.A., Flisser A., Correa D., Botero D., Allan J.C., Sarti E., Gonzalez A.E., Gilman R.H., Garcia H.H. 2001. Proposed diagnostic criteria for neurocysticercosis. Neurology, 57, 177–183.
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  • Garcia H.H., Talley A., Gilman R.H., Zorrilla L., Pretell J. 1999. Epilepsy and neurocysticercosis in a village in Huaraz, Peru. Clinical Neurology and Neurosurgery, 101, 225–228.
  • Garcia H.H., Del Brutto O.H. 2003. Imaging findings in neurocysticercosis. Acta Tropica, 87, 71–78.
  • Lino-Júnior R.S., Ribeiro P.M., Antonelli E.J., Faleiros A.C.G., Terra S.A., Reis M.A., Teixeira V.P.A. 2002. Características evolutivas do Cysticercus cellulosae no encéfalo e no coraçăo humanos. Revista da Sociedade Brasileira de Medicina Tropical, 35, 617–622.
  • Maretti M.A. 1999. Neurocysticercosis: a study of 177 cases from São José do Rio Preto, São Paulo, Brazil. Arquivos de Neuro-Psiquiatria, 57, 1063.
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  • Sánchez A.L., Gomez O., Allebeck P., Cosenza H., Ljungström L. 1997. Epidemiological study of Taenia solium infections in a rural village in Honduras. Annals of Tropical Medicine and Parasitology, 91, 163–171.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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