Neurocysticercosis in Low- and Middle-Income Countries, a Diagnostic Challenge from Oyam District, Uganda

被引:3
作者
Segala, Francesco Vladimiro [1 ]
De Vita, Elda [2 ]
Amone, James [3 ]
Ongaro, Daniel [3 ]
Nassali, Ritah [3 ]
Oceng, Bonny [3 ]
Okori, Samuel [3 ]
Putoto, Giovanni [4 ]
Lochoro, Peter [5 ]
Ictho, Jerry [5 ]
Fantoni, Massimo [1 ]
Saracino, Annalisa [2 ]
Di Gennaro, Francesco [2 ]
机构
[1] Univ Cattolica Sacro Cuore, Clin Infect Dis, I-00168 Rome, Italy
[2] Univ Bari, Dept Biomed Sci & Human Oncol, Clin Infect Dis, I-70123 Bari, Italy
[3] St Johns XXIII Hosp Aber, Jaber 21310, Uganda
[4] Doctors Africa CUAMM, Operat Res Unit, I-35100 Padua, Italy
[5] Doctors Africa CUAMM, Kampala 21310, Uganda
关键词
Uganda; neurocysticercosis; zoonosis; LMIC; Tenia solium; computed tomography;
D O I
10.3390/idr14040054
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: In countries where Taenia solium is endemic, neurocysticercosis (NCC) is the leading identified cause of seizures, accounting for nearly 30% of all epilepsy cases and up to 2.8 million of Disability Adjusted Life Years. Diagnosis of this condition, however, is strictly reliant on either MRI or CT scan, which are poorly available in low- and middle-income countries (LMICs), creating challenges for proper case management and the acquisition of precise neuroepidemiologic data that may guide program and policy development. Methods: Here, we report the case of a 73-year-old woman admitted in a rural hospital in Northern Uganda, who presented with seizures and a progressive inability to walk. She was then diagnosed with NCC after a brain CT scan. Conclusions: This case study represents a rare example of the detection of NCC in a rural district hospital, thus suggesting the potential feasibility of a CT-scan guided diagnostic approach in low resource settings.
引用
收藏
页码:505 / 508
页数:4
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