Neurology Service, Santa Casa de Misericórdia, de Porto Alegre, Brazil; Federal University of Health Science of Porto Alegre, Brazil.
Infectology Service, Nossa Senhora da Conceição Hospital, Brazil.
Parasitol Int. 2020 Oct;78:102158. doi: 10.1016/j.parint.2020.102158. Epub 2020 Jun 14.
Three patients with eosinophilic meningitis (EoM) were investigated in two hospitals in Porto Alegre, Southern Brazil. These patients had a common exposure after the ingestion of raw mollusks in a religious ritual. Two of them had an uncommon presentation with intense lower distal extremities pain and small fiber neuropathy as defined by an electroneuromyography (ENMG) study. All three patients were positive for Angiostrongylus cantonensis serology and recovered after antihelminthic and anti-inflammatory treatment. Increased awareness of A. cantonensis infection is important to avoid new infections and to improved recognition and handling of cerebral angiostrongyliasis.
三位嗜酸性粒细胞性脑膜炎（EoM）患者在巴西南部阿雷格里港的两家医院接受了调查。这些患者在宗教仪式中摄入生贝类后有共同的暴露史。其中两人表现不常见，下肢远端疼痛剧烈，电肌电图（ENMG）研究显示存在小纤维神经病。所有三名患者的旋毛虫 cantonensis 血清学检测均为阳性，经驱虫和抗炎治疗后康复。提高对旋毛虫 cantonensis 感染的认识对于避免新的感染以及改善对脑血管虫病的认识和处理非常重要。
