Epidemiology of neurocysticercosis in Houston, Texas

Yazmin Del La Garza, Edward A. Graviss, Naval G. Daver, Kimberley J. Gambarin, Wayne X. Shandera, Peter M. Schantz, A. Clinton White

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

We identified 114 patients with neurocysticercosis admitted to Ben Taub General Hospital in Houston, Texas between January 1994 and June 1997. Most of these patients were born in Mexico (78%) or Central America (16%), but 6% were born in the United States. Review of neurology clinic records identified 54 patients diagnosed with neurocysticercosis, representing 2% of all neurology clinic patients and 16% of all Hispanics diagnosed with seizures. Forty-one patients were interviewed and all reported significant risk factors for infection, including ingestion of undercooked pork, pig husbandry, immigration from and frequent travel to villages in disease-endemic areas, or personal/family history of taeniasis. Among Mexican immigrants, most were born in rural areas in Central (31%) or north central Mexico (38%). Significantly fewer of the patients were from the border states (15%). The median period from immigration to diagnosis was 58 months, but it was 28 months for the 13 patients who had not left the United States after immigration. Although neurocysticercosis is being diagnosed with increasing frequency in the United States, acquisition of infection is still strongly associated with pig husbandry in rural Latin America, with little evidence of local transmission. Even among urban immigrants to the United States and United States-born cases, there is close ongoing contact with disease-endemic villages.

Original languageEnglish (US)
Pages (from-to)766-770
Number of pages5
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume73
Issue number4
StatePublished - Oct 2005
Externally publishedYes

Fingerprint

Neurocysticercosis
Epidemiology
Emigration and Immigration
Endemic Diseases
Neurology
Mexico
Swine
Taeniasis
Central America
Latin America
Infection
Hispanic Americans
General Hospitals
Seizures
Eating

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases

Cite this

Del La Garza, Y., Graviss, E. A., Daver, N. G., Gambarin, K. J., Shandera, W. X., Schantz, P. M., & White, A. C. (2005). Epidemiology of neurocysticercosis in Houston, Texas. American Journal of Tropical Medicine and Hygiene, 73(4), 766-770.

Epidemiology of neurocysticercosis in Houston, Texas. / Del La Garza, Yazmin; Graviss, Edward A.; Daver, Naval G.; Gambarin, Kimberley J.; Shandera, Wayne X.; Schantz, Peter M.; White, A. Clinton.

In: American Journal of Tropical Medicine and Hygiene, Vol. 73, No. 4, 10.2005, p. 766-770.

Research output: Contribution to journalArticle

Del La Garza, Y, Graviss, EA, Daver, NG, Gambarin, KJ, Shandera, WX, Schantz, PM & White, AC 2005, 'Epidemiology of neurocysticercosis in Houston, Texas', American Journal of Tropical Medicine and Hygiene, vol. 73, no. 4, pp. 766-770.
Del La Garza Y, Graviss EA, Daver NG, Gambarin KJ, Shandera WX, Schantz PM et al. Epidemiology of neurocysticercosis in Houston, Texas. American Journal of Tropical Medicine and Hygiene. 2005 Oct;73(4):766-770.
Del La Garza, Yazmin ; Graviss, Edward A. ; Daver, Naval G. ; Gambarin, Kimberley J. ; Shandera, Wayne X. ; Schantz, Peter M. ; White, A. Clinton. / Epidemiology of neurocysticercosis in Houston, Texas. In: American Journal of Tropical Medicine and Hygiene. 2005 ; Vol. 73, No. 4. pp. 766-770.
@article{0295565bc8874de28c3151e79e36578b,
title = "Epidemiology of neurocysticercosis in Houston, Texas",
abstract = "We identified 114 patients with neurocysticercosis admitted to Ben Taub General Hospital in Houston, Texas between January 1994 and June 1997. Most of these patients were born in Mexico (78{\%}) or Central America (16{\%}), but 6{\%} were born in the United States. Review of neurology clinic records identified 54 patients diagnosed with neurocysticercosis, representing 2{\%} of all neurology clinic patients and 16{\%} of all Hispanics diagnosed with seizures. Forty-one patients were interviewed and all reported significant risk factors for infection, including ingestion of undercooked pork, pig husbandry, immigration from and frequent travel to villages in disease-endemic areas, or personal/family history of taeniasis. Among Mexican immigrants, most were born in rural areas in Central (31{\%}) or north central Mexico (38{\%}). Significantly fewer of the patients were from the border states (15{\%}). The median period from immigration to diagnosis was 58 months, but it was 28 months for the 13 patients who had not left the United States after immigration. Although neurocysticercosis is being diagnosed with increasing frequency in the United States, acquisition of infection is still strongly associated with pig husbandry in rural Latin America, with little evidence of local transmission. Even among urban immigrants to the United States and United States-born cases, there is close ongoing contact with disease-endemic villages.",
author = "{Del La Garza}, Yazmin and Graviss, {Edward A.} and Daver, {Naval G.} and Gambarin, {Kimberley J.} and Shandera, {Wayne X.} and Schantz, {Peter M.} and White, {A. Clinton}",
year = "2005",
month = "10",
language = "English (US)",
volume = "73",
pages = "766--770",
journal = "American Journal of Tropical Medicine and Hygiene",
issn = "0002-9637",
publisher = "American Society of Tropical Medicine and Hygiene",
number = "4",

}

TY - JOUR

T1 - Epidemiology of neurocysticercosis in Houston, Texas

AU - Del La Garza, Yazmin

AU - Graviss, Edward A.

AU - Daver, Naval G.

AU - Gambarin, Kimberley J.

AU - Shandera, Wayne X.

AU - Schantz, Peter M.

AU - White, A. Clinton

PY - 2005/10

Y1 - 2005/10

N2 - We identified 114 patients with neurocysticercosis admitted to Ben Taub General Hospital in Houston, Texas between January 1994 and June 1997. Most of these patients were born in Mexico (78%) or Central America (16%), but 6% were born in the United States. Review of neurology clinic records identified 54 patients diagnosed with neurocysticercosis, representing 2% of all neurology clinic patients and 16% of all Hispanics diagnosed with seizures. Forty-one patients were interviewed and all reported significant risk factors for infection, including ingestion of undercooked pork, pig husbandry, immigration from and frequent travel to villages in disease-endemic areas, or personal/family history of taeniasis. Among Mexican immigrants, most were born in rural areas in Central (31%) or north central Mexico (38%). Significantly fewer of the patients were from the border states (15%). The median period from immigration to diagnosis was 58 months, but it was 28 months for the 13 patients who had not left the United States after immigration. Although neurocysticercosis is being diagnosed with increasing frequency in the United States, acquisition of infection is still strongly associated with pig husbandry in rural Latin America, with little evidence of local transmission. Even among urban immigrants to the United States and United States-born cases, there is close ongoing contact with disease-endemic villages.

AB - We identified 114 patients with neurocysticercosis admitted to Ben Taub General Hospital in Houston, Texas between January 1994 and June 1997. Most of these patients were born in Mexico (78%) or Central America (16%), but 6% were born in the United States. Review of neurology clinic records identified 54 patients diagnosed with neurocysticercosis, representing 2% of all neurology clinic patients and 16% of all Hispanics diagnosed with seizures. Forty-one patients were interviewed and all reported significant risk factors for infection, including ingestion of undercooked pork, pig husbandry, immigration from and frequent travel to villages in disease-endemic areas, or personal/family history of taeniasis. Among Mexican immigrants, most were born in rural areas in Central (31%) or north central Mexico (38%). Significantly fewer of the patients were from the border states (15%). The median period from immigration to diagnosis was 58 months, but it was 28 months for the 13 patients who had not left the United States after immigration. Although neurocysticercosis is being diagnosed with increasing frequency in the United States, acquisition of infection is still strongly associated with pig husbandry in rural Latin America, with little evidence of local transmission. Even among urban immigrants to the United States and United States-born cases, there is close ongoing contact with disease-endemic villages.

UR - http://www.scopus.com/inward/record.url?scp=26844474685&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26844474685&partnerID=8YFLogxK

M3 - Article

VL - 73

SP - 766

EP - 770

JO - American Journal of Tropical Medicine and Hygiene

JF - American Journal of Tropical Medicine and Hygiene

SN - 0002-9637

IS - 4

ER -