Titus L. Daniels, MD; Thomas A. Moore, MD
Potential Financial Conflicts of Interest: None disclosed.
Daniels T., Moore T.; Neurocysticercosis in Kansas. Ann Intern Med. 2006;144:150-152. doi: 10.7326/0003-4819-144-2-200601170-00027
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Published: Ann Intern Med. 2006;144(2):150-152.
TO THE EDITOR:
Background: In the United States, neurocysticercosis is a disease that is most often identified in persons of Hispanic ethnicity. Cases of the disease have been reported from large urban areas (1); however, no studies have evaluated neurocysticercosis in rural areas.
Objective: To describe neurocysticercosis in Kansas from April 1986 to April 2001.
Methods and Findings: We reviewed all charts of patients with a discharge diagnosis of cysticercosis between April 1986 and April 2001 at all 3 hospitals and both infectious disease specialty practices in Wichita, Kansas. All participating institutions used the International Classification of Diseases, Ninth Revision (ICD-9) for billing and coding. In addition, we surveyed the 3 community hospitals serving the counties with the largest Hispanic populations by letter and subsequent telephone call. None of the surveyed institutions reported any cases of cysticercosis or neurocysticercosis during the study period. To categorize data by county, we matched ZIP codes that were recorded in the medical record as part of the patient's primary residence with the associated county by using information publicly available from the U.S. Postal Service. Hispanic population data were collected from the U.S. Census Bureau. We delineated 2 periods to evaluate trends in cases of the disease and fluctuations in the Hispanic population as determined by the census data. The first period ranged from April 1986 to April 1994; the second period ranged from May 1994 to April 2001.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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