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Cerebral Paragonimiasis With Hemorrhagic Stroke in a Developed Country

机译:在发达国家出血性脑卒中的脑锥虫病

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摘要

Paragonimiasis is a food-borne parasitic disease caused byParagonimuslung flukes,which are epidemic in Asia. Cerebral paragonimiasis accounts for <1% of symptomatic paragonimiasis but is the most common extrapulmonary infection. Cerebral paragonimiasis often mimics stroke and sometimes causes severe neurological sequelae.A 61-year-old woman was admitted to the hospital for severe headache. A head computed tomography scan revealed intracerebral hemorrhage with subarachnoid hemorrhage. The patient also had lesions in the lungs. She frequently ate Japanese mitten crab. Peripheral blood examination results of increased eosinophilia and immunological testing results confirmed the diagnosis ofParagonimus westermaniinfection. The patient was successfully treated with praziquantel as the first-line agent. Cerebral paragonimiasis is currently rare in developed countries; however, it is an important disease to consider.
机译:并殖吸虫病是一种由并殖吸虫引起的食源性寄生虫病,在亚洲流行。脑型肺吸虫病占症状性肺吸虫病的<1%,但是最常见的肺外感染。脑型肺吸虫病常与中风相似,有时会导致严重的神经后遗症。一名61岁女子因严重头痛入院。头部电脑断层扫描显示脑出血合并蛛网膜下腔出血。病人的肺部也有病变。她经常吃日本绒螯蟹。外周血嗜酸性粒细胞增多的检查结果和免疫学检测结果证实了卫氏肺吸虫感染的诊断。患者成功地接受了吡喹酮作为一线药物的治疗。脑型肺吸虫病目前在发达国家很少见;然而,这是一个重要的疾病需要考虑。

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