Article Text

Download PDFPDF

Localised myelitis caused by visceral larva migrans due to Ascaris suummasquerading as an isolated spinal cord tumour
Free
  1. M OSOEGAWA,
  2. S MATSUMOTO,
  3. H OCHI,
  4. K YAMASAKI,
  5. I HORIUCHI,
  6. Y OHYAGI J-I KIRA
  1. Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812–8582, Japan
  2. Department of Parasitology, Miyazaki Medical College, Miyazaki, 889–1692, Japan
  1. Professor Jun-ichi Kira kira{at}neuro.med.kyushu-u.ac.jp
  1. K ISHIWATA,
  2. F NAKAMURA-UCHIYAMA,
  3. Y NAWA
  1. Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812–8582, Japan
  2. Department of Parasitology, Miyazaki Medical College, Miyazaki, 889–1692, Japan
  1. Professor Jun-ichi Kira kira{at}neuro.med.kyushu-u.ac.jp

Statistics from Altmetric.com

Eosinophilic meningitis is caused by various parasites, a representive of which is Angiostrongylus cantonensis. The disease has also occasionally been reported in visceral larva migrans due to Toxocara canis, although the parenchymatous involvement of the CNS is extremely rare in T canis visceral larva migrans.1 Recently an outbreak of visceral larva migrans due to Ascaris suum infection has been reported in Kyushu, Japan, where chemical fertiliser has been replaced in part with pig manure.2 We report a case of myelopathy probably due to A suum infection.

A 22 year old man, living in the Tokyo metropolitan area, noticed that his right hand was swollen and warm in mid-August, 1999. The oedema subsided spontaneously within a week. In early October, he felt thermanaesthesia in his right leg while he was taking a shower. Because he had sometimes felt numbness in one or both axillas from the beginning of November, he was admitted to a hospital on 7 December 1999. Physical examination on admission showed hypalgesia and thermanaesthesia below the Th9 level on the right and a positive Lhermitte's sign. Peripheral blood eosinophil count was raised at 610/μl (10.5% leucocytes). Serum IgE concentration was 155 IU/ml (normal <240 IU/ml). Thoracic …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.