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[Neurocysticercosis with initial clinical picture of acute meningitis].

Abstract
Twenty seven cases of neurocysticercosis, with clinical picture of acute meningitis, are described. Twenty (74.1%) patients are male; the age was 4 to 42 years (23.6 +/- 11.7 years). The etiologic diagnosis was defined by the complement fixation test (Weinberg) and/or enzyme-linked immunosorbent assay (ELISA) for cysticercosis in the cerebrospinal fluid (c. s. f.). Six patients that realized cranial computerized tomographic scan resembling neurocysticercosis. Twenty one (77.8%) have predominance of lymphomononuclear cells in the c. s. f. obtained in the admission to the hospital; in 6 (22.2%) there were predominance of polymorphonuclear neutrophils. In this c. s. f. lymphomononuclear pleocytosis and in three that have c. s. f. neutrophil pleocytosis, suggesting the diagnosis of neurocysticercosis. The treatment of acute neurocysticercosis was made with dexamethasone. All the patients survived and were transferred to the ambulatory of Neurology for follow-up and complementary treatment.
AuthorsA M Bonametti, J L Baldy, A L Bortoliero, C M de Maio, J do N Passos, P K Takata, D S de Pauli, J C Guimarães, E T Anzai, M do C Elisbão
JournalRevista do Instituto de Medicina Tropical de Sao Paulo (Rev Inst Med Trop Sao Paulo) 1994 Jan-Feb Vol. 36 Issue 1 Pg. 27-32 ISSN: 0036-4665 [Print] Brazil
Vernacular TitleNeurocisticercose com quadro clínico inicial de meningite aguda.
PMID7997770 (Publication Type: English Abstract, Journal Article)
Topics
  • Acute Disease
  • Adolescent
  • Adult
  • Brain Diseases (cerebrospinal fluid, complications, diagnosis)
  • Child
  • Child, Preschool
  • Complement Fixation Tests
  • Cysticercosis (cerebrospinal fluid, complications, diagnosis)
  • Diagnosis, Differential
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Leukocytes
  • Male
  • Meningitis (cerebrospinal fluid, diagnosis, parasitology)

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