Abstract
We report a case of multiple cerebral infarctions as the first symptom of hypereosinophilia
with Clonorchis sinensis infestation. The patient showed hypereosinophilia and elevated cardiac enzyme, and
the egg test of C. sinensis was positive. CT scans of the chest and the abdomen revealed eosinophilic infiltration
in both lung and liver. Over a period of six weeks after praziquantel medication,
he recovered. C. sinensis infestation which is endemic in East Asian countries should be considered as a cause
of multiple microembolic stroke associated with idiopathic hypereosinophilic syndrome.
Keywords
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References
- Prevalence of clonorchiasis in southern endemic areas of Korea in 2006.Korean J Parasitol. 2008; 46: 133-137
- The pathogenesis of watershed infarcts in the brain.Stroke. 1984; 15: 221-223
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- Multiple microembolic borderzone brain infarctions and endomyocardial fibrosis in idiopathic hypereosinophilic syndrome and in Schistosoma mansoni infestation.J Neurol Neurosurg Psychiatry. 2004; 75: 305-307
Article info
Publication history
Published online: June 04, 2012
Accepted:
May 10,
2012
Received in revised form:
May 8,
2012
Received:
September 9,
2011
Identification
Copyright
© 2012 Published by Elsevier Inc.
