Paranjape Neha, Nunez Victor, Dicks Demetrius
Wellstar Infectious Disease, Marietta, GA, USA.
Quantum Radiology, Marietta, GA, USA.
IDCases. 2021 Sep 15;26:e01287. doi: 10.1016/j.idcr.2021.e01287. eCollection 2021.
Cerebral paragonimiasis is rare and is usually seen in younger patients. This is a case of a 19-year-old male presenting as a hemorrhagic stroke with headache and blurred vision. He was found to have cystic thick-walled spaces with focal linear tracking towards the pleural space on computed tomography of the chest. CSF analysis showed pleocytosis with 4% eosinophils. Serological testing confirmed the diagnosis of paragonimiasis. He was treated with praziquantel, corticosteroid taper and anti-epileptic medication and discharged home in stable condition. CNS paragonimiasis is treatable, has a fairly good prognosis but can often be missed. In a young person presenting with an acute hemorrhagic stroke, the possibility of paragonimiasis should be kept on the differential diagnosis.
脑肺吸虫病较为罕见，通常见于年轻患者。这是一例19岁男性患者，表现为出血性中风，伴有头痛和视力模糊。胸部计算机断层扫描显示其有囊性厚壁腔隙，并向胸膜腔有局灶性线性延伸。脑脊液分析显示细胞增多，嗜酸性粒细胞占4%。血清学检测确诊为肺吸虫病。他接受了吡喹酮、逐渐减量的皮质类固醇和抗癫痫药物治疗，出院时病情稳定。中枢神经系统肺吸虫病是可治疗的，预后相当良好，但常常容易被漏诊。对于出现急性出血性中风的年轻人，应将肺吸虫病列入鉴别诊断的考虑范围。
