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High Prevalence of Asymptomatic Neurocysticercosis in an Endemic Rural Community in Peru.


ABSTRACT:

Background

Neurocysticercosis is a common helminthic infection of the central nervous system and an important cause of adult-onset epilepsy in endemic countries. However, few studies have examined associations between neurologic symptoms, serology and radiographic findings on a community-level.

Methodology

We conducted a population-based study of resident's ?2 years old in a highly endemic village in Peru (pop. 454). We applied a 14 -question neurologic screening tool and evaluated serum for antibodies against Taenia solium cysticercosis using enzyme-linked immunoelectrotransfer blot (LLGP-EITB). We invited all residents ?18 years old to have non-contrast computerized tomography (CT) of the head.

Principal findings

Of the 385 residents who provided serum samples, 142 (36.9%) were seropositive. Of the 256 residents who underwent CT scan, 48 (18.8%) had brain calcifications consistent with NCC; 8/48 (17.0%) reported a history of headache and/or seizures. Exposure to T. solium is very common in this endemic community where 1 out of 5 residents had brain calcifications. However, the vast majority of people with calcifications were asymptomatic.

Conclusion

This study reports a high prevalence of NCC infection in an endemic community in Peru and confirms that a large proportion of apparently asymptomatic residents have brain calcifications that could provoke seizures in the future.

SUBMITTER: Moyano LM 

PROVIDER: S-EPMC5167259 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature

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High Prevalence of Asymptomatic Neurocysticercosis in an Endemic Rural Community in Peru.

Moyano Luz M LM   O'Neal Seth E SE   Ayvar Viterbo V   Gonzalvez Guillermo G   Gamboa Ricardo R   Vilchez Percy P   Rodriguez Silvia S   Reistetter Joe J   Tsang Victor C W VC   Gilman Robert H RH   Gonzalez Armando E AE   Garcia Hector H HH  

PLoS neglected tropical diseases 20161219 12


<h4>Background</h4>Neurocysticercosis is a common helminthic infection of the central nervous system and an important cause of adult-onset epilepsy in endemic countries. However, few studies have examined associations between neurologic symptoms, serology and radiographic findings on a community-level.<h4>Methodology</h4>We conducted a population-based study of resident's ≥2 years old in a highly endemic village in Peru (pop. 454). We applied a 14 -question neurologic screening tool and evaluate  ...[more]

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