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Am J Trop Med Hyg ; 103(6): 2318-2322, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32959773

RESUMEN

Neurocysticercosis (NCC) is a disease caused by infection of the central nervous system with the larval stage of the tapeworm Taenia solium. This disease is endemic in many parts of the world, including Africa, Asia, and Latin America, where animal husbandry practices are common such that pigs reared for human consumption ingest feces from humans infected with T. solium. Neurocysticercosis is rarely acquired in economically affluent regions, including North America, Central Europe, Japan, and Australasia, and in countries where pork consumption is discouraged by religious or social practices. In these countries, NCC is usually diagnosed in immigrants or returning travelers who have spent time in endemic regions. Here, we report a case of NCC in a 25-year-old woman presenting with worsening visual symptoms in association with headache, diagnosed previously as a migraine with visual aura. This person had always lived in Australia and had never traveled overseas to a country endemic for T. solium. The unusual features of the clinical presentation and epidemiology are highlighted to raise physicians' awareness that attention needs to be paid to the risk of autochthonous infection occurring in non-endemic countries.


Asunto(s)
Edema Encefálico/diagnóstico por imagen , Neurocisticercosis/diagnóstico por imagen , Lóbulo Occipital/diagnóstico por imagen , Adulto , Animales , Australia , Edema Encefálico/terapia , ADN de Helmintos/análisis , Transmisión de Enfermedad Infecciosa , Femenino , Humanos , Imagen por Resonancia Magnética , Neurocisticercosis/patología , Neurocisticercosis/terapia , Neurocisticercosis/transmisión , Lóbulo Occipital/patología , Lóbulo Occipital/cirugía , Reacción en Cadena de la Polimerasa , Taenia solium/genética
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