TỔN THƯƠNG HỆ THẦN KINH TRUNG ƯƠNG DO SÁN LÁ PHỔI: BÁO CÁO CA BỆNH HIẾM GẶP Ở TRẺ EM TẠI VIỆT NAM

Abstract

Paragonimiasis of the central nervous system is a rare disease, probably caused by the abnormal migration of immature larvae from the lungs through the soft tissues of the neck to the brain and spinal cord. Symptoms include headache, vomiting, epilepsy, paralysis, etc. We describe a 6-year-old male with a patient medical history of two episodes of cerebral hemorrhage, who was hospitalized because of a sudden onset of headache, vomiting, fever, and neck stiffness. Cerebrospinal fluid was yellow with 1,622 white blood cells (74% eosinophils). The blood test result for paragonimus was positive, with optical density of 0.795. A cranial computed tomography scan revealed an old intracerebral hemorrhage, and magnetic resonance imaging of the spinal cord showed diffuse spinal meningitis. We diagnosed eosinophilic spinal meningitis caused by paragonimus in a patient with a history of old cerebral hemorrhages and successfully treated the patient with praziquantel early diagnosis should be paid attention in patients with neurological symptoms and living in endemic areas of paragonimus.