Neurocysticercosis in the north of Portugal

Monteiro, L.

doi:10.1590/s0004-282x1995000300030

Arq. Neuro-Psiquiatr.

1995

DOI: 10.1590/s0004-282x1995000300030

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Neurocysticercosis in the north of Portugal

L. Monteiro¹

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“…Zammarchi et al ., in a recent systematic review of the literature on cysticercosis and T. solium taeniasis observed in Europe, highlight the increasing disease importation: 38·3% of cases were imported (324 out of 846 total cases in Europe) [9]. Autochthonous disease data is, however, biased by data from the Norte Region of Portugal from the 1980s and early 1990s (366/522 total autochthonous cases in Europe) corresponding to a past sustained endemic focus [9,10]. This is thought to have changed completely due to improved sanitation and pig production industrialization and control.…”

mentioning

confidence: 99%

Human cysticercosis in Portugal: long gone or still contemporary?

Vilhena

Fonseca²,

Dias

et al. 2016

Epidemiol. Infect.

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Cysticercosis, a leading cause of acquired epilepsy in developing countries, has been controlled or eradicated in industrialized countries. This paradigm has recently been challenged, with human neurocysticercosis (NCC) being increasingly diagnosed in these countries. In order to assess the NCC burden in Portugal, a retrospective study on NCC hospitalizations (2006-2013) was conducted based on the national database on hospital morbidity: 357 hospitalized cases were detected. NCC was most frequent in the following age groups: 20-64 years (n = 197, 55·2%) >64 years (n = 111, 31·1%), and <20 years (n = 49, 13·7%). In the Norte and Centro regions cases tended to be older than in the Lisboa and Vale do Tejo Region. The results raise concerns for imported and autochthonous disease, suggesting the Lisboa and Vale do Tejo Region, due to its higher frequency of cases at younger ages, as a priority for research and intervention, and further suggest that NCC should be under surveillance (notifiable). The National Observatory of Cysticercosis and Taeniasis has been established and will define NCC cases as well as monitoring and surveillance.

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mentioning

confidence: 99%

Human cysticercosis in Portugal: long gone or still contemporary?

Vilhena

Fonseca²,

Dias

et al. 2016

Epidemiol. Infect.

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Neurocysticercosis in Western Europe: a re-emerging disease?

Brutto

2012

Acta Neurol Belg

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The objective of the study was to estimate the magnitude of neurocysticercosis in Western Europe and to determine the pattern of disease expression in the region. Review of patients with neurocysticercosis diagnosed in Western Europe from 1970 to 2011. Abstracted data included: demographic profile, clinical manifestations, form of neurocysticercosis, and whether the disease occurred in immigrants, European international travelers, or Europeans who had never been abroad. A total of 779 patients were found. Of these, only 28 were diagnosed before 1985. Countries with more reported patients were Portugal (n = 384), Spain (n = 228), France (n = 80), The United Kingdom (n = 26), and Italy (n = 21). Information on citizenship status, clinical manifestations, and forms of the disease was available in only 30-40% of patients. Immigrants accounted for 53% of cases, European travelers for 8%, and non-traveler Europeans for 39%. Immigrants/European travelers were most often diagnosed during the new Millennium, presented most often with seizures, and had less frequently inactive (calcified) neurocysticercosis than non-traveler Europeans. The prevalence of neurocysticercosis in Western Europe may be on the rise. The pattern of disease expression is different among immigrants/European travelers than among non-traveler Europeans. It is possible that some patients had acquired the disease as the result of contact with Taenia solium carriers coming from endemic countries. Much remains to be learned on the prevalence of neurocysticercosis in this region.

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Neurocysticercosis in the north of Portugal

Cited by 2 publications

References 0 publications

Human cysticercosis in Portugal: long gone or still contemporary?

Human cysticercosis in Portugal: long gone or still contemporary?

Neurocysticercosis in Western Europe: a re-emerging disease?

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