食生鸵鸟肝致犬弓蛔虫性脑膜炎。
Meningitis by Toxocara canis after ingestion of raw ostrich liver.
机构信息
Department of Neurology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
出版信息
J Korean Med Sci. 2012 Sep;27(9):1105-8. doi: 10.3346/jkms.2012.27.9.1105. Epub 2012 Aug 22.
Abstract
Recently reports on toxocariasis are increasing by serodiagnosis in Korea. A previously healthy 17-yr-old boy complained of headache, fever, dyspnea, and anorexia. He showed symptoms and signs of eosinophilic meningitis with involvement of the lungs and liver. Specific IgG antibody to Toxocara canis larval antigen was positive in serum and cerebrospinal fluid by ELISA. He took raw ostrich liver with his parents 4 weeks before the symptom onset. His parents were seropositive for T. canis antigen but had no symptoms or signs suggesting toxocariasis. This is the first report of toxocariasis in a family due to ingestion of raw ostrich liver in Korea.
摘要
近来，通过血清学诊断，韩国的旋毛虫病报告病例有所增加。一名此前健康的 17 岁男孩主诉头痛、发热、呼吸困难和食欲不振。他出现了嗜酸性粒细胞性脑膜炎的症状和体征，并累及肺部和肝脏。酶联免疫吸附试验（ELISA）显示，血清和脑脊液中针对犬蛔虫幼虫抗原的特异性 IgG 抗体呈阳性。他在症状出现前 4 周与父母一起食用了生鸵鸟肝。他的父母对 T. canis 抗原呈血清学阳性，但没有出现提示旋毛虫病的症状或体征。这是在韩国因食用生鸵鸟肝导致家庭感染旋毛虫病的首例报告。
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