Murray Kristen, Salamon Noriko, Kim Doojin, Ho Michael G
David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Neurohospitalist. 2025 Aug 20:19418744251370935. doi: 10.1177/19418744251370935.
Schistosoma and Angiostrongylus are both parasites which can cause central nervous system manifestations in humans. These parasites live in several overlapping geographic areas as well as share several clinical features. Diagnosis and treatment can be difficult given these infections are rare, have non-specific symptoms, and have definitive testing that takes days to weeks to result. We present a case of myelitis secondary to Angiostrongylus cantonensis infection with false-positive Schistosoma serologies complicating the diagnostic process in which the patient had an excellent clinical response to treatment with steroids and antiparasitic agents.
血吸虫和广州管圆线虫都是可导致人类中枢神经系统表现的寄生虫。这些寄生虫生活在几个重叠的地理区域，并且有一些共同的临床特征。鉴于这些感染罕见、症状不具特异性且确诊检测需要数天至数周才能出结果，诊断和治疗可能会很困难。我们报告一例广州管圆线虫感染继发脊髓炎的病例，血吸虫血清学检测出现假阳性，使诊断过程复杂化，该患者对类固醇和抗寄生虫药物治疗有良好的临床反应。
