Hoffmeister Bodo, Glaeser Sven, Flick Holger, Pornschlegel Sebastian, Suttorp Norbert, Bergmann Frank
Department of Infectious Diseases and Pulmonology, Charité University Hospital, Berlin, Germany.
Am J Trop Med Hyg. 2007 Mar;76(3):600-2.
Human toxocariasis is usually contracted by exposure to contaminated soil. This disease is rarely transmitted by raw meat or giblets of paratenic animals, such as chickens, lambs, or cows. We present a case of isolated cerebral toxocariasis presumably caused by the consumption of raw duck liver. This 55-year-old woman had sudden-onset hemiparesis of the right leg, eosinophilia of 30%, and markedly elevated total serum IgE levels. Magnetic resonance imaging demonstrated multiple cerebral hyperintense lesions on T2-weighed images. Tests for antibodies to Toxocara in serum and cerebrospinal fluid yielded highly positive results. Repeated courses of albendazole and corticosteroids led to significant clinical improvement.
人体弓首蛔虫病通常是因接触受污染的土壤而感染。这种疾病很少通过食用转续宿主动物（如鸡、羔羊或牛）的生肉或内脏传播。我们报告一例疑似因食用生鸭肝导致的孤立性脑弓首蛔虫病病例。这名55岁女性突然出现右腿偏瘫、嗜酸性粒细胞增多30%，血清总IgE水平显著升高。磁共振成像显示在T2加权图像上有多个脑内高信号病变。血清和脑脊液中抗弓首蛔虫抗体检测结果呈强阳性。多次使用阿苯达唑和皮质类固醇治疗后临床症状显著改善。
