Uso de la imagen radiológica y serología por Western Blot para el diagnóstico de la neurocisticercosis en un hospital del norte del Perú.
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| Title: | Uso de la imagen radiológica y serología por Western Blot para el diagnóstico de la neurocisticercosis en un hospital del norte del Perú. |
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| Alternate Title: | Use of radiological imaging and serology by Western Blot for the diagnosis of neurocysticercosis in a hospital in northern Peru. |
| Authors: | Leandro Saavedra-Camacho, Johnny1 johnnylsc107@gmail.com, Massely Coico-Vega, Mayra1, Failoc-Rojas, Virgilio E.2, Ballón-Manrique, Benigno3, Silva-Díaz, Heber4,5 |
| Source: | Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo. 2021, Vol. 14 Issue 3, p311-315. 5p. |
| Abstract (English): | Background: Neurocysticercosis (NCC) is a parasitic zoonosis of the central nervous system caused by the tapeworm Taenia solium, which affects developing countries with poor basic sanitation. Objective: To describe the use and concordance of radiological tomography (CT) or magnetic resonance imaging (MRI) and western blot (WB) serology in the diagnosis of NCC in a hospital in northern Peru. Material and Methods: Retrospective observational study. The medical history was the unit of analysis. The cases were searched in the Epidemiology office using the ICD-10-B69 and registry of the Laboratory of Parasitology, Metaxenics and Zoonoses of the same hospital, in the period from 2015 to 2017. Results: 67 medicales records were studied, which complied with the absolute diagnostic criteria for NCC. The patients were men in 55.2% and had a mean age of 40.2 (± 17.8) years. 35.9% had a positive result by WB (19/39), cystic lesions with scolex were observed in 25.4% of the CT and in 29.6 of the MRI. The concordance observed between the serological test with CT and MRI was poor, with (Kappa = 0.073, 95% CI: 0.053 - 1.084) and (Kappa = 0.112, 95% CI: 0.092 - 1.092) and a percentage of agreement of 42.0% and 45.7% respectively. Conclusions: Differentiated use and poor concordance between the WB serological test and radiological imaging are performed in patients with a diagnosis of neurocysticercosis in the studied population. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La neurocisticercosis (NCC) es una zoonosis parasitaria del sistema nervioso central causada por el céstodo Taenia solium, y que afecta a países en desarrollo y con escaso saneamiento básico. Objetivo: Describir el uso y la concordancia de la imagen radiológica por tomografía (TAC) o resonancia magnética (RM) y serología por western Blot (WB) en el diagnóstico de la NCC en un hospital del norte del Perú. Material y Métodos: Estudio observacional retrospectivo. La historia clínica fue la unidad de análisis. Los casos se buscaron en la oficina de Epidemiología mediante el CIE-10-B69 y registro del Laboratorio de Parasitología, Metaxénicas y Zoonosis del mismo hospital, en el periodo del año 2015 al 2017. Resultados: Se estudiaron 67 historias clínicas, que cumplían con los criterios diagnósticos absolutos de NCC. Los pacientes fueron varones en el 55,2 % y tuvieron una media de edad de 40,2 (±17,8) años. El 35,9% tuvieron un resultado positivo por WB (19/39), las lesiones quísticas con escólex fueron observada en el 25,4% de las TAC y en el 29,6 de las RM. La concordancia observada entre la prueba serológica con TAC y RM fue escasa, siendo (Kappa=0,073, IC95%: 0,053 - 1,084) y (Kappa=0,112, IC95%: 0,092 - 1,092) y un porcentaje de acuerdo de 42,0% y 45,7% respectivamente. Conclusiones: Se observó uso diferenciado y escasa concordancia entre la prueba serológica por WB e imagen radiológica en pacientes con diagnóstico de neurocisticercosis en la población estudiada. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo is the property of Cuerpo Medico del Hospital Nacional Almanzor Aguinaga Asenjo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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| Items | – Name: Title Label: Title Group: Ti Data: Uso de la imagen radiológica y serología por Western Blot para el diagnóstico de la neurocisticercosis en un hospital del norte del Perú. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Use of radiological imaging and serology by Western Blot for the diagnosis of neurocysticercosis in a hospital in northern Peru. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Leandro+Saavedra-Camacho%2C+Johnny%22">Leandro Saavedra-Camacho, Johnny</searchLink><relatesTo>1</relatesTo><i> johnnylsc107@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Massely+Coico-Vega%2C+Mayra%22">Massely Coico-Vega, Mayra</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Failoc-Rojas%2C+Virgilio+E%2E%22">Failoc-Rojas, Virgilio E.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ballón-Manrique%2C+Benigno%22">Ballón-Manrique, Benigno</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Silva-Díaz%2C+Heber%22">Silva-Díaz, Heber</searchLink><relatesTo>4,5</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+del+Cuerpo+Médico+del+Hospital+Nacional+Almanzor+Aguinaga+Asenjo%22">Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo</searchLink>. 2021, Vol. 14 Issue 3, p311-315. 5p. – Name: Abstract Label: Abstract (English) Group: Ab Data: Background: Neurocysticercosis (NCC) is a parasitic zoonosis of the central nervous system caused by the tapeworm Taenia solium, which affects developing countries with poor basic sanitation. Objective: To describe the use and concordance of radiological tomography (CT) or magnetic resonance imaging (MRI) and western blot (WB) serology in the diagnosis of NCC in a hospital in northern Peru. Material and Methods: Retrospective observational study. The medical history was the unit of analysis. The cases were searched in the Epidemiology office using the ICD-10-B69 and registry of the Laboratory of Parasitology, Metaxenics and Zoonoses of the same hospital, in the period from 2015 to 2017. Results: 67 medicales records were studied, which complied with the absolute diagnostic criteria for NCC. The patients were men in 55.2% and had a mean age of 40.2 (± 17.8) years. 35.9% had a positive result by WB (19/39), cystic lesions with scolex were observed in 25.4% of the CT and in 29.6 of the MRI. The concordance observed between the serological test with CT and MRI was poor, with (Kappa = 0.073, 95% CI: 0.053 - 1.084) and (Kappa = 0.112, 95% CI: 0.092 - 1.092) and a percentage of agreement of 42.0% and 45.7% respectively. Conclusions: Differentiated use and poor concordance between the WB serological test and radiological imaging are performed in patients with a diagnosis of neurocysticercosis in the studied population. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: La neurocisticercosis (NCC) es una zoonosis parasitaria del sistema nervioso central causada por el céstodo Taenia solium, y que afecta a países en desarrollo y con escaso saneamiento básico. Objetivo: Describir el uso y la concordancia de la imagen radiológica por tomografía (TAC) o resonancia magnética (RM) y serología por western Blot (WB) en el diagnóstico de la NCC en un hospital del norte del Perú. Material y Métodos: Estudio observacional retrospectivo. La historia clínica fue la unidad de análisis. Los casos se buscaron en la oficina de Epidemiología mediante el CIE-10-B69 y registro del Laboratorio de Parasitología, Metaxénicas y Zoonosis del mismo hospital, en el periodo del año 2015 al 2017. Resultados: Se estudiaron 67 historias clínicas, que cumplían con los criterios diagnósticos absolutos de NCC. Los pacientes fueron varones en el 55,2 % y tuvieron una media de edad de 40,2 (±17,8) años. El 35,9% tuvieron un resultado positivo por WB (19/39), las lesiones quísticas con escólex fueron observada en el 25,4% de las TAC y en el 29,6 de las RM. La concordancia observada entre la prueba serológica con TAC y RM fue escasa, siendo (Kappa=0,073, IC95%: 0,053 - 1,084) y (Kappa=0,112, IC95%: 0,092 - 1,092) y un porcentaje de acuerdo de 42,0% y 45,7% respectivamente. Conclusiones: Se observó uso diferenciado y escasa concordancia entre la prueba serológica por WB e imagen radiológica en pacientes con diagnóstico de neurocisticercosis en la población estudiada. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo is the property of Cuerpo Medico del Hospital Nacional Almanzor Aguinaga Asenjo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.35434/rcmhnaaa.2021.143.1251 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 5 StartPage: 311 Titles: – TitleFull: Uso de la imagen radiológica y serología por Western Blot para el diagnóstico de la neurocisticercosis en un hospital del norte del Perú. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Leandro Saavedra-Camacho, Johnny – PersonEntity: Name: NameFull: Massely Coico-Vega, Mayra – PersonEntity: Name: NameFull: Failoc-Rojas, Virgilio E. – PersonEntity: Name: NameFull: Ballón-Manrique, Benigno – PersonEntity: Name: NameFull: Silva-Díaz, Heber IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: 2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 22255109 Numbering: – Type: volume Value: 14 – Type: issue Value: 3 Titles: – TitleFull: Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo Type: main |
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