中国现代神经疾病杂志 ›› 2013, Vol. 13 ›› Issue (1): 55-57. doi: 10.3969/j.issn.1672-6731.2013.01.012

• 中枢神经系统感染性疾病 • 上一篇    下一篇

2 Eosinophilic meningitis caused by infection of Angiostrongylus cantonensis in a traveler

GUAN Hongzhi, HOI Chupeng, CUI Liying, CHEN Lin   

  • 出版日期:2013-01-25 发布日期:2013-02-19
  • 通讯作者: 崔丽英(pumchcly@yahoo.com.cn)

Eosinophilic meningitis caused by infection of Angiostrongylus cantonensis in a traveler

GUAN Hongzhi, HOI Chupeng, CUI Liying, CHEN Lin   

  1. Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
    Section of Neurology, Department of Internal Medicine, Centro Hospitalar Conde de São Januário, Macau SAR, China
  • Online:2013-01-25 Published:2013-02-19
  • Contact: Cui Liying (pumchcly@yahoo.com.cn)

摘要: 报告1 例从中国南方旅游归来后发生急性脑膜炎患者的临床经过。脑脊液细胞学检查发现嗜酸性粒细胞计数显著升高,符合嗜酸性粒细胞性脑膜炎,予以经验性糖皮质激素和抗寄生虫治疗后病情缓解;最终经血清学检查明确诊断为广州管圆线虫感染。对于从流行地区归来的旅游者所患的嗜酸性粒细胞性脑膜炎,应特别注意广州管圆线虫病的可能。

关键词: 广州管圆线虫, 脑膜炎, 嗜酸粒细胞增多, 脑脊髓液, 细胞学

Abstract: A 55-year-old female traveler returning from South China with acute onset of meningitis, presenting with eosinophilic pleocytosis in the cerebrospinal fluid was reported. The etiological diagnosis of angiostrongyliasis was confirmed by detection of specific serum antibody against Angiostrongylus cantonensis. Angiostrongyliasis should be considered as a major differential diagnosis for eosinophilic meningitis in the travelers to endemic regions.

Key words: Angiostrongylus cantonensis, meningitis, ensinophilia, cerebrospinal fluid, cytology