Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, Texas.

IF 3.3 3区医学 Q2 MICROBIOLOGY

Pathogens Pub Date : 2024-11-12 DOI:10.3390/pathogens13110988

Megan M Duffey, Elise M O'Connell, Morgan Jibowu, Fanny E Moron, Lauren M Leining, Nina L Tang, Craig L Hanis, Eric L Brown, Sarah M Gunter

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Abstract

Cysticercosis is a parasitic infection and neglected tropical disease caused by Taenia solium, or the pork tapeworm. Cysticercosis with central nervous system involvement, or neurocysticercosis, is a leading cause of chronic headaches and epilepsy in endemic regions, including Latin America and Asia. In the United States, the epidemiology of cysticercosis has not been well described. We conducted a cross-section serosurvey of Mexican-American adults residing along the Texas-Mexico border (Starr County, Texas) and identified an overall seroprevalence of 7.4% (45/605) for cysticercosis. Brain imaging studies conducted on seropositive study participants identified lesions consistent with calcified neurocysticercosis in 2 of the 45 seropositive individuals. Female sex (p = 0.021), employment in healthcare, caregiving, or social service (p = 0.002), and indoor occupation (p < 0.001) were found to be significantly associated with seropositivity. Further study is needed to evaluate the burden of neurocysticercosis and local transmission risk in this community.

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得克萨斯州斯塔县墨西哥裔美国人囊尾蚴病的血清流行率和风险因素。

囊尾蚴病是一种寄生虫感染，也是一种被忽视的热带疾病，由猪肉绦虫（Taenia solium）引起。在中枢神经系统受累的囊尾蚴病（或称神经囊尾蚴病）是包括拉丁美洲和亚洲在内的流行地区慢性头痛和癫痫的主要病因。在美国，囊尾蚴病的流行病学尚未得到很好的描述。我们对居住在得克萨斯州与墨西哥交界处（得克萨斯州斯塔县）的墨西哥裔美国成年人进行了横断面血清调查，发现囊尾蚴病的总血清阳性率为7.4%（45/605）。对血清反应呈阳性的研究人员进行的脑成像研究发现，在45名血清反应呈阳性的人中，有2人的病变与钙化神经囊尾蚴病一致。研究发现，女性性别（p = 0.021）、医疗保健、护理或社会服务工作（p = 0.002）和室内职业（p < 0.001）与血清阳性有显著相关性。要评估该社区神经囊虫病的负担和本地传播风险，还需要进一步的研究。

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来源期刊

Pathogens Medicine-Immunology and Allergy

CiteScore

6.40

自引率

8.10%

发文量

1285

审稿时长

17.75 days

期刊介绍： Pathogens (ISSN 2076-0817) publishes reviews, regular research papers and short notes on all aspects of pathogens and pathogen-host interactions. There is no restriction on the length of the papers. Our aim is to encourage scientists to publish their experimental and theoretical research in as much detail as possible. Full experimental and/or methodical details must be provided for research articles.