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題名 | 疑似嗜伊紅性腦膜炎病例報告=Suspected Eosinophilic Meningitis Caused by Angiostrongylus Cantonensis--Case Report |
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作者姓名(中文) | 陳芳婷; 李浩銓; 莊耀聰; | 書刊名 | 藥學雜誌 |
卷期 | 26:2=103 2010.06[民99.06] |
頁次 | 頁26-30 |
分類號 | 415.198 |
關鍵詞 | 嗜伊紅性腦膜炎; Levamisole藥物治療; Eosinophilic meningitis; Levam; |
語文 | 中文(Chinese) |
中文摘要 | 60歲女性精神病患因腹痛、全身虛弱、頭痛、意識不清等臨床症狀由急診轉入神經內科加護病房住院。住院期間出現腦脊髓液及血液中的嗜伊紅性白血球數據異常,加上病人有接觸蝸牛的病史記錄而診斷為疑似嗜伊紅性腦膜炎,可能是由廣東住血線蟲引起的腦膜炎,在台灣因進食或接觸含有廣東住血線蟲的第三期幼蟲的中間宿主如非洲大蝸牛,福壽螺等常見軟體動物而發病,經過投與 3星期的 levamisole 600 mg/天治療後,臨床症狀改善。臨床醫師詢問病史時,當病人有接觸蝸牛的紀錄及腦脊髓液檢查發現嗜伊紅性白血球數據異常時應考量病人有嗜伊紅性腦膜炎感染。 |
英文摘要 | 60-year-old woman who had the symptoms of abdominal pain, general weakness, headache, altered consciousness and high fever. High eosinophil count was found both in the peripheral blood and cerebrospinal fluid studies. Review the history, she ate snails without cooking. Eosinophilic meningitis caused by A. cantonensis was mostly favored.The patient got much improvement after 3 weeks of levamisole 600 mg/day treatment. A. cantonesis meningitis is not frequently found in Taiwan before, but the case increased recently.It should be taken in consideration in patients with meningitis who had high eosinophilia count or history of snails contact. |
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