Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, Texas

Cysticercosis is a parasitic infection and neglected tropical disease caused by <i>Taenia solium</i>, or the pork tapeworm. Cysticercosis with central nervous system involvement, or neurocysticercosis, is a leading cause of chronic headaches and epilepsy in endemic regions, including Lat...

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Main Authors: Megan M. Duffey, Elise M. O’Connell, Morgan Jibowu, Fanny E. Moron, Lauren M. Leining, Nina L. Tang, Craig L. Hanis, Eric L. Brown, Sarah M. Gunter
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Pathogens
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Online Access:https://www.mdpi.com/2076-0817/13/11/988
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author Megan M. Duffey
Elise M. O’Connell
Morgan Jibowu
Fanny E. Moron
Lauren M. Leining
Nina L. Tang
Craig L. Hanis
Eric L. Brown
Sarah M. Gunter
author_facet Megan M. Duffey
Elise M. O’Connell
Morgan Jibowu
Fanny E. Moron
Lauren M. Leining
Nina L. Tang
Craig L. Hanis
Eric L. Brown
Sarah M. Gunter
author_sort Megan M. Duffey
collection DOAJ
description Cysticercosis is a parasitic infection and neglected tropical disease caused by <i>Taenia solium</i>, or the pork tapeworm. Cysticercosis with central nervous system involvement, or neurocysticercosis, is a leading cause of chronic headaches and epilepsy in endemic regions, including Latin America and Asia. In the United States, the epidemiology of cysticercosis has not been well described. We conducted a cross-section serosurvey of Mexican-American adults residing along the Texas–Mexico border (Starr County, Texas) and identified an overall seroprevalence of 7.4% (45/605) for cysticercosis. Brain imaging studies conducted on seropositive study participants identified lesions consistent with calcified neurocysticercosis in 2 of the 45 seropositive individuals. Female sex (<i>p</i> = 0.021), employment in healthcare, caregiving, or social service (<i>p</i> = 0.002), and indoor occupation (<i>p</i> < 0.001) were found to be significantly associated with seropositivity. Further study is needed to evaluate the burden of neurocysticercosis and local transmission risk in this community.
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spelling doaj-art-b10b20a1a3dc44c6a8d552814d27f65f2025-08-20T01:53:54ZengMDPI AGPathogens2076-08172024-11-01131198810.3390/pathogens13110988Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, TexasMegan M. Duffey0Elise M. O’Connell1Morgan Jibowu2Fanny E. Moron3Lauren M. Leining4Nina L. Tang5Craig L. Hanis6Eric L. Brown7Sarah M. Gunter8Department of Medicine, Section of Infectious Diseases, Baylor College of Medicine, Houston, TX 77030, USALaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USANational School of Tropical Medicine, Section of Tropical Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USADepartment of Radiology, Baylor College of Medicine, Houston, TX 77030, USANational School of Tropical Medicine, Section of Tropical Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USALaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USAHuman Genetics Center, Department of Epidemiology, University of Texas School of Public Health, Houston, TX 77030, USACenter for Infectious Disease, Department of Epidemiology, University of Texas School of Public Health, Houston, TX 77030, USANational School of Tropical Medicine, Section of Tropical Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USACysticercosis is a parasitic infection and neglected tropical disease caused by <i>Taenia solium</i>, or the pork tapeworm. Cysticercosis with central nervous system involvement, or neurocysticercosis, is a leading cause of chronic headaches and epilepsy in endemic regions, including Latin America and Asia. In the United States, the epidemiology of cysticercosis has not been well described. We conducted a cross-section serosurvey of Mexican-American adults residing along the Texas–Mexico border (Starr County, Texas) and identified an overall seroprevalence of 7.4% (45/605) for cysticercosis. Brain imaging studies conducted on seropositive study participants identified lesions consistent with calcified neurocysticercosis in 2 of the 45 seropositive individuals. Female sex (<i>p</i> = 0.021), employment in healthcare, caregiving, or social service (<i>p</i> = 0.002), and indoor occupation (<i>p</i> < 0.001) were found to be significantly associated with seropositivity. Further study is needed to evaluate the burden of neurocysticercosis and local transmission risk in this community.https://www.mdpi.com/2076-0817/13/11/988taeniasistropical medicinecysticercosisneurocysticercosiscestode infections
spellingShingle Megan M. Duffey
Elise M. O’Connell
Morgan Jibowu
Fanny E. Moron
Lauren M. Leining
Nina L. Tang
Craig L. Hanis
Eric L. Brown
Sarah M. Gunter
Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, Texas
Pathogens
taeniasis
tropical medicine
cysticercosis
neurocysticercosis
cestode infections
title Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, Texas
title_full Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, Texas
title_fullStr Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, Texas
title_full_unstemmed Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, Texas
title_short Seroprevalence and Risk Factors for Cysticercosis in Mexican Americans in Starr County, Texas
title_sort seroprevalence and risk factors for cysticercosis in mexican americans in starr county texas
topic taeniasis
tropical medicine
cysticercosis
neurocysticercosis
cestode infections
url https://www.mdpi.com/2076-0817/13/11/988
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