GMS hygiene and infection control · 2026
Unravelling parasitic spinal infections: a narrative review on diagnosis, treatment strategies, and collaborative management approaches.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Das Anand Kumar, Bhardwaj Sona, Lahariya Rijhul, Sinha Mainak, Singh Saraj Kumar, Kishore Simmi
Аннотация
INTRODUCTION: Parasitic infections are more common in low hygiene regions but can occur in developed countries. They often cause significant morbidity and death, especially in the central nervous system. Some spinal infections are caused by Taenia solium, which causes spinal neurocysticercosis. Echinococcus, which causes spinal echinococcosis, frequently infects the lumbar and thoracic spines. Spinal cord schistosomiasis caused by Schistosoma infection has serious clinical consequences. Toxoplasmosis is common in immunocompromised patients, whereas Toxocariasis is generally more common as a childhood infection, caused by ingestion of the eggs. This review article examines parasitic spinal infections, patient demographics, afflicted spinal regions, medical and surgical treatments, follow-up durations, and results.
METHOD: The search strategy included (Parasitic) OR (Neurocysticercosis) OR (Echinococcosis) OR (Sparganosis) OR (Schistosomiasis) OR (Gnathostomiasis) OR (Lagochilascariasis) OR (Toxocariasis) OR (Toxoplasma)) AND ((Spine) OR (Spinal)) AND (Infection).
RESULTS: 35 articles with 44 participants (average age of 40.1±12.6 years) were included. Most affected were the thoracic (50%) and lumbar (15.9%) spines. Neurocysticercosis was the most common infection (45.5%), followed by echinococcosis (31.8%), sparganosis (6.8%), schistosomiasis (4.5%), gnathostomiasis (4.5%), and single occurrences of lagochilascariasis and toxocariasis (2.3% each). Albendazole was administered in 90.9% of cases. Depending on the situation, 35 out of 44 (79.5%) of cases required surgery, which could involve fixation or not. All patients survived, with an average follow-up of 18.6±24.8 months. Neuroimaging, serology, and clinical symptoms determined the diagnosis. Antiparasitic and anti-inflammatory medicines are utilised, and surgery or spinal cord decompression may be explored for unclear diagnoses.
METHOD: The search strategy included (Parasitic) OR (Neurocysticercosis) OR (Echinococcosis) OR (Sparganosis) OR (Schistosomiasis) OR (Gnathostomiasis) OR (Lagochilascariasis) OR (Toxocariasis) OR (Toxoplasma)) AND ((Spine) OR (Spinal)) AND (Infection).
RESULTS: 35 articles with 44 participants (average age of 40.1±12.6 years) were included. Most affected were the thoracic (50%) and lumbar (15.9%) spines. Neurocysticercosis was the most common infection (45.5%), followed by echinococcosis (31.8%), sparganosis (6.8%), schistosomiasis (4.5%), gnathostomiasis (4.5%), and single occurrences of lagochilascariasis and toxocariasis (2.3% each). Albendazole was administered in 90.9% of cases. Depending on the situation, 35 out of 44 (79.5%) of cases required surgery, which could involve fixation or not. All patients survived, with an average follow-up of 18.6±24.8 months. Neuroimaging, serology, and clinical symptoms determined the diagnosis. Antiparasitic and anti-inflammatory medicines are utilised, and surgery or spinal cord decompression may be explored for unclear diagnoses.