Witoonpanich R, Chuahirun S, Soranastaporn S, Rojanasunan P
Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 1991 Jun;22(2):262-7.
Three members of a family developed eosinophilic myelomeningoencephalitis following ingestion of Pila snails. They were father, daughter and son and had similar clinical presentations. Two days after ingestion of snails, they developed a generalized itchy maculopapular rash followed by myalgia, marked paresthesia, fever and headache. Two days later there was weakness of the extremities which was progressive in severity involving the legs more than the arms. They later developed urine retention and cloudiness of consciousness. Two patients progressed to coma, one of whom died after 3 weeks and the other died at home 9 months after the onset. Autopsy of the fatal case revealed multiple tracks and cavities with the presence of Angiostrongylus cantonensis in the brain and various levels of the spinal cord.
一个家庭的三名成员在食用福寿螺后患上嗜酸性粒细胞性脑脊膜炎。他们是父亲、女儿和儿子，临床表现相似。食用福寿螺两天后，他们出现全身性瘙痒性斑丘疹，随后出现肌痛、明显的感觉异常、发热和头痛。两天后出现四肢无力，且症状逐渐加重，累及腿部比手臂更严重。他们后来出现尿潴留和意识模糊。两名患者发展为昏迷，其中一名在3周后死亡，另一名在发病9个月后在家中死亡。对致命病例的尸检显示，大脑和脊髓各节段存在多条轨迹和空洞，并发现广州管圆线虫。
