脳内肺吸虫症の1治験例

A CASE REPORT OF CEREBRAL PAREGONIMIASIS

緒言

　脳内に寄生する寄生虫にはCysticercus cell-ulosae hominus, Echinococcus, Trichinella　spriralis, Schistosoma japonicum, Parago-nimus Westermani, Sparganum Mansoni，の6種が挙げられているが，本邦に於ては肺吸虫及び有鈎嚢虫の脳内寄生が最も多く，肺吸虫の脳内寄生に就ては大谷が剖検例で確認して以来，多くの例が報告されているが，手術治験例は比較的少い。我々は最近本症を経験し手術により治癒せしめ得たので報告し併せて考察を加えたいと思う。

A case of cerebral form of paragonimiasis was reported with a few comments on the diagnostic and therapeutic considerations.

Case: The patient is a 9-year-old boy, ad-mitted with left hemiplegia of 1 year and 3 months' duration. Inhistory, he had an attack of severe headache associated with abrupt high fever some three years before. The similar headache had come twice a month since then.Two and ahalt years before admission, he co-mplained nausea, vomiting, headache, fever,disturbance in consciousness and generalized itchy feeling. Recently he had a spell of high fever of 38° to 40°C. On admission the physi cal examination of the chest revealed no par-ticular findings. High-voltage X-ray picture of the chest, however, was suggestive of cy-stlike lesions due to lung flukes. No eggs were demonstrated in the sputum or feces.No eosinophilia was detected in spinal fluids.Intradermal test based on complement-fixing test reaction was strongly positive. In ven-triculogram and cerebral angiogram, multiple granuloma were suspected in right fronto-tem-poral lobe and occipital lobe. By cranioto-my, cystlike lesions of lung flukes were re-moved.