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Soumahoro MK, Melki J, Assi B, Kangah YL, Camara M, Tazemda-Kuitsouc GB, Nowakowski M, Yapo-Ehounoud C, Sonan T, Bellalou J, Jambou R. Seroprevalence of Cysticercosis among Epileptic Patients Attending Neurological Units in the Urban Area of Abidjan. Microorganisms 2021; 9:1712. [PMID: 34442791 PMCID: PMC8398218 DOI: 10.3390/microorganisms9081712] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Revised: 07/26/2021] [Accepted: 08/06/2021] [Indexed: 11/17/2022] Open
Abstract
Cysticercosis is one of the main causes of secondary epilepsy in sub-Saharan Africa. To estimate the seroprevalence of cysticercosis among epileptic patients, we conducted a cross-sectional study of patients attending neurology consultation in Abidjan, Côte d'Ivoire. Methods: Patients' socio-demographic and lifestyle data were collected as well as blood samples for serological testing using ELISA and Western blot based on IgG antibodies detection. For qualitative variables comparison, Chi2 or Fisher tests were used; a Student's t-test was used to compare quantitative variables. A multivariate logistic regression model was fit to identify risks factors. Results: Among 403 epileptic patients included in the study, 55.3% were male; the median age was 16.9 years; 77% lived in Abidjan; 26.5% were workers. Most patients included in the study had tonic-clonic seizures (80%), and 11.2% had focal deficit signs. The seroprevalence of cysticercosis was 6.0%. The risk was higher in patients over 30 years old (aOR = 5.1 (1.3-20.0)) than in patients under 16. The risk was also considerably high in patients who reported epileptics in the family (aOR = 5 (1.7-14.6)). The risk was three-fold less in females than in males. Conclusions: This study highlighted the exposure of epileptic patients to Taenia solium larvae in an urban area. The risk of positive serology was increased with age, male gender, and family history of epilepsy.
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Affiliation(s)
- Man-Koumba Soumahoro
- Department of Epidemiology—Clinical Research, Institut Pasteur de Côte d’Ivoire, Abidjan 01 BP 490, Côte d’Ivoire; (Y.L.K.); (G.B.T.-K.)
| | - Jihen Melki
- Department of Parasitology, Institut Pasteur de Côte d’Ivoire, Abidjan 01 BP 490, Côte d’Ivoire;
| | - Berthe Assi
- Neurology Department, Cocody University Hospital, Abidjan 01 BP V 13, Côte d’Ivoire; (B.A.); (C.Y.-E.)
| | - Yves Landry Kangah
- Department of Epidemiology—Clinical Research, Institut Pasteur de Côte d’Ivoire, Abidjan 01 BP 490, Côte d’Ivoire; (Y.L.K.); (G.B.T.-K.)
| | - Mamadou Camara
- Neurology Unit, Adjamé General Hospital, Abidjan 03 BP 1856, Côte d’Ivoire;
| | - Gildas Boris Tazemda-Kuitsouc
- Department of Epidemiology—Clinical Research, Institut Pasteur de Côte d’Ivoire, Abidjan 01 BP 490, Côte d’Ivoire; (Y.L.K.); (G.B.T.-K.)
| | - Mireille Nowakowski
- Recombinant Protein Platform, Institut Pasteur, 75015 Paris, France; (M.N.); (J.B.)
| | - Constance Yapo-Ehounoud
- Neurology Department, Cocody University Hospital, Abidjan 01 BP V 13, Côte d’Ivoire; (B.A.); (C.Y.-E.)
| | - Thérèse Sonan
- Neurology Department, Yopougon University Hospital, Abidjan 21 BP 632, Côte d’Ivoire;
| | - Jacques Bellalou
- Recombinant Protein Platform, Institut Pasteur, 75015 Paris, France; (M.N.); (J.B.)
| | - Ronan Jambou
- Department of Parasitology, Institut Pasteur de Côte d’Ivoire, Abidjan 01 BP 490, Côte d’Ivoire;
- Global Health Department, Institut Pasteur, 75015 Paris, France
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Barba G, Doireau V, Lippa A, Tauzin C, Mensire A, Choulot JJ, Saint Martin J. [Radiologic case of the month. Neurocysticercosis]. Arch Pediatr 1999; 6:315-6. [PMID: 10191901 DOI: 10.1016/s0929-693x(99)80272-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- G Barba
- Service de pédiatrie, centre hospitalier général, Pau, France
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