Walus M A, Young E J
Neurosurgery Service, Hamilton Medical Center, Dalton, Georgia.
Am J Clin Pathol. 1990 Dec;94(6):790-2. doi: 10.1093/ajcp/94.6.790.
A young Mexican woman had headache and left arm weakness develop shortly after immigrating to the United States. A solitary cerebral cysticercus was found at surgery, but, instead of the expected finding of clear fluid, the cyst contained pus from which Brucella melitensis was cultured. Although the patient had no signs or symptoms suggestive of brucellosis, agglutination studies revealed IgM and IgG antibodies consistent with active brucellosis. Clinicians should be alert to the possibility of multiple infections in immigrants from countries where parasites and bacteria that are uncommon in the United States are endemic.
一名年轻的墨西哥女性在移民到美国后不久出现头痛和左臂无力症状。手术中发现一个孤立的脑囊尾蚴，但囊肿内并非预期的清亮液体，而是含有从中培养出羊布鲁氏菌的脓液。尽管患者没有布鲁氏菌病的体征或症状，但凝集试验显示IgM和IgG抗体与活动性布鲁氏菌病相符。临床医生应警惕来自美国罕见寄生虫和细菌流行国家的移民发生多重感染的可能性。
