PDF(Pubmed)
Abstract：
We report a case of eosinophilic meningitis associated with the ingestion of raw fish (Cichla sp.) from the Brazilian Amazon, likely caused by Gnathostoma. A 36-year-old male visited Juruena river on a fishing trip. After 50 days, the patient presented with an intense frontal headache. A cerebrospinal fluid examination revealed 63% eosinophilia. Another individual who ingested raw fish developed linear dermatitis on the abdominal wall. Anti-Gnathostoma serum antibodies were detected, and the patient made a full recovery after treatment with corticosteroids and albendazole. To date, autochthonous Gnathostoma spp. infections in Latin American countries have only caused linear panniculitis. This report raises awareness of gnathostomiasis-causing meningitis.
摘要：
我们报告了一例与摄入生鱼有关的嗜酸性粒细胞性脑膜炎（Cichlasp。)来自巴西亚马逊，可能是由鼻孔引起的。一名36岁的男性在钓鱼之旅中访问了Juruena河。50天后,患者出现严重的额叶头痛。脑脊液检查显示63％的嗜酸性粒细胞增多。另一个摄入生鱼的人在腹壁出现线性皮炎。检测抗鼻孔瘤血清抗体，患者在接受糖皮质激素和阿苯达唑治疗后完全康复。迄今为止,土生土长的Gnathostomaspp.拉丁美洲国家的感染仅引起线性脂膜炎。该报告提高了人们对引起颌口病的脑膜炎的认识。
