Universidade Federal do Espírito Santo, Núcleo de Doenças Infecciosas, Centro de Ciências da Saúde, Vitória, ES, Brasil.
Hospital Evangélico, Londrina, PR, Brasil.
Rev Soc Bras Med Trop. 2024 Mar 4;57:e008012024. doi: 10.1590/0037-8682-0434-2023. eCollection 2024.
We report a case of eosinophilic meningitis associated with the ingestion of raw fish (Cichla sp.) from the Brazilian Amazon, likely caused by Gnathostoma. A 36-year-old male visited Juruena river on a fishing trip. After 50 days, the patient presented with an intense frontal headache. A cerebrospinal fluid examination revealed 63% eosinophilia. Another individual who ingested raw fish developed linear dermatitis on the abdominal wall. Anti-Gnathostoma serum antibodies were detected, and the patient made a full recovery after treatment with corticosteroids and albendazole. To date, autochthonous Gnathostoma spp. infections in Latin American countries have only caused linear panniculitis. This report raises awareness of gnathostomiasis-causing meningitis.
我们报告了一例嗜酸性粒细胞性脑膜炎，与食用来自巴西亚马逊的生鱼（Cichla sp.）有关，可能由棘颚口线虫引起。一名 36 岁男性在一次钓鱼旅行中前往茹鲁埃纳河。50 天后，患者出现剧烈的额头痛。脑脊液检查显示 63%的嗜酸性粒细胞增多。另一名食用生鱼的人在腹壁出现线性性皮炎。检测到抗棘颚口线虫血清抗体，患者在接受皮质类固醇和阿苯达唑治疗后完全康复。迄今为止，拉丁美洲国家的本土棘颚口线虫感染仅引起线性脂膜炎。本报告提高了对引起嗜酸性粒细胞性脑膜炎的颚口线虫病的认识。
