Abstract：
Neural larva migrans (NLM) with eosinophilic meningoencephalitis secondary to raccoon roundworm (Baylisascaris procyonis) infection has been reported in rural and suburban areas of North America and Europe with extant raccoon populations. Most cases have occurred in infants less than two years of age exposed to areas of raccoon fecal contamination. Here, we present a case of Baylisascaris-induced NLM from the densely populated borough of Brooklyn in New York City and alert urban pediatricians to consider this cause of clinical neurologic disease even in areas not typically thought to be associated with endemic risk factors. Infected raccoons also occur in urban settings, and urban children may be exposed to environmental areas or materials contaminated with their feces and the parasite\'s eggs.
摘要：
据报道，在北美和欧洲的农村和郊区，有现存的浣熊种群，神经幼虫迁徙（NLM）患有继发于浣熊蛔虫（Baylisscarisprocyonis）感染的嗜酸性脑膜脑炎。大多数病例发生在暴露于浣熊粪便污染区域的两岁以下婴儿中。这里,我们介绍了一例来自纽约人口密集的布鲁克林区的Baylisscaris诱导的NLM病例,并提醒城市儿科医生考虑临床神经系统疾病的病因,即使在通常不被认为与地方性危险因素相关的地区.受感染的浣熊也发生在城市环境中，和城市儿童可能暴露于环境区域或材料污染他们的粪便和寄生虫的卵。
