The Return of an Old Worm: Cerebral Paragonimiasis Presenting with Intracerebral Hemorrhage
Journal of Korean Medical Science
;
: 1428-1432, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-128852
ABSTRACT
Paragonimiasis is caused by ingesting crustaceans, which are the intermediate hosts of Paragonimus. The involvement of the brain was a common presentation in Korea decades ago, but it becomes much less frequent in domestic medical practices. We observed a rare case of cerebral paragonimiasis manifesting with intracerebral hemorrhage. A 10-yr-old girl presented with sudden-onset dysarthria, right facial palsy and clumsiness of the right hand. Brain imaging showed acute intracerebral hemorrhage in the left frontal area. An occult vascular malformation or small arteriovenous malformation compressed by the hematoma was initially suspected. The lesion progressed for over 2 months until a delayed surgery was undertaken. Pathologic examination was consistent with cerebral paragonimiasis. After chemotherapy with praziquantel, the patient was monitored without neurological deficits or seizure attacks for 6 months. This case alerts practicing clinicians to the domestic transmission of a forgotten parasitic disease due to environmental changes.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paragonimíase
/
Paragonimus
/
Praziquantel
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Tomografia Computadorizada por Raios X
/
Hemorragia Cerebral
/
Disartria
/
Paralisia Facial
/
Malformações Vasculares
Limite:
Animais
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Medical Science
Ano de publicação:
2012
Tipo de documento:
Artigo
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