Department of Neurology, Kyung Hee University Hospital, Seoul, Republic of Korea.
J Neurol Sci. 2012 Aug 15;319(1-2):133-4. doi: 10.1016/j.jns.2012.05.028. Epub 2012 May 31.
We report a case of multiple cerebral infarctions as the first symptom of hypereosinophilia with Clonorchis sinensis infestation. The patient showed hypereosinophilia and elevated cardiac enzyme, and the egg test of C. sinensis was positive. CT scans of the chest and the abdomen revealed eosinophilic infiltration in both lung and liver. Over a period of six weeks after praziquantel medication, he recovered. C. sinensis infestation which is endemic in East Asian countries should be considered as a cause of multiple microembolic stroke associated with idiopathic hypereosinophilic syndrome.
我们报告了一例以高嗜酸性粒细胞增多为首发表现的华支睾吸虫感染合并多发性脑梗死。患者表现为高嗜酸性粒细胞增多和心肌酶升高，华支睾吸虫卵检查阳性。胸部和腹部 CT 扫描显示肺和肝内嗜酸性粒细胞浸润。在吡喹酮治疗 6 周后，患者痊愈。华支睾吸虫病在东亚国家流行，应考虑为特发性高嗜酸性粒细胞综合征相关多发性微栓塞性卒中的病因之一。
