RESUMEN
INTRODUCTION: Neurocysticercosis (NC) is the most prevalent parasitic infection in the CNS. Its frequency in our environment has increased with migratory movements. The clinical and demographic characteristics of patients with NC attended in a third level hospital in an area with a high prevalence of immigrant have been analyzed. PATIENTS AND METHODS: A retrospective study was done of the patients registered by the Coding Service of Virgen de la Arrixaca Hospital (January 2996 to December 2009), analyzing all the clinical histories of patients discharged with the primary or secondary diagnosis of neurocysticercosis. The most relevant epidemiological, diagnostic and therapeutic data were analyzed. RESULTS: 35 patients were included in the study. Of these, 24 were men, all coming from Latin America. The most prevalent onset was seizure episode (27 patients). The number of cases per year began to increase after 2002. Although only 21 of the cases had criteria to begin medical treatment with albendazole, it had been prescribed to 29 patients. CONCLUSION: In Murcia, NC is mainly an imported disease. An increase in the annual incidence has been observed since 2002, parallel to the rise in the number of immigrants. Approximately 25% of the patients received treatment in spite of not having antiparasitic treatment indication.
Asunto(s)
Neurocisticercosis/epidemiología , Adolescente , Adulto , Anciano , Albendazol/uso terapéutico , Antihelmínticos/uso terapéutico , Bolivia/etnología , Niño , Ecuador/etnología , Femenino , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Neurocisticercosis/diagnóstico , Neurocisticercosis/tratamiento farmacológico , Estudios Retrospectivos , España/epidemiología , Adulto JovenRESUMEN
In this study we analyzed the pattern of copper (Cu), cadmium (Cd), lead (Pb), and mercury (Hg) accumulation in liver (as a detoxifying organ) and muscle (as the most important tissue for human consumption) of brown trout (Salmo trutta) and European eel (Anguilla anguilla) caught in two wild Spanish rivers where both species are usually angled for human consumption. Cd, Pb, and Cu accumulated preferentially in the liver of both species. Hg accumulated both in the liver and muscle in brown trout, whereas it accumulated preferentially in muscle in European eel. Both high metal content and preferential accumulation of Hg in muscle suggest that European eel is more harmful than brown trout for human consumption.