在臺灣省中部發生的嗜伊紅性腦膜炎之一例

A Case of Eosinophilic Meningitis from the Middle Area of Taiwan

蔣枝生(J. S. Chiang)

《Acta Paediatrica Sinica》 13卷1期 (1972/03) Pp. 26-32

摘要

本病例為3歲半的男童，家住在臺灣省南投縣，曾經玩過蝸牛。從去年8月訴苦頭痛、腹痛、嘔吐等。在外面當做上呼吸道感染治療多次，未見好轉後來住院檢查。發現血液像中白血球及嗜伊紅性球增高，腦脊髓液細胞數和嗜伊紅性球也增高，加以臨床有腦神經症狀發生，因此診斷其為嗜伊紅性腦膜炎。在往院期間，雖然沒有查出致病原，但由文獻報告我們仍然最懷疑此病例的病原的廣東住血線蟲。由於是寄生蟲性的疾病，預防重於治療，最主要的是不吃未煮熱的食物，消滅中間宿主，注重個人及環境衛生。

並列摘要

A case of 3 years and 7 months old male child with eosinophilic meningitis is presented. He had complained of abrupt fever, severe headache, vertigo, anorexia, nausea, vomiting and abdominal pain for 13 days since Aug. 28, 1971. He had used to play with snails and dirty soil. He had been treated as upper respiratory infection in vain. However, several days later, stiffness of the neck and profuse night sweating followed.
Physical examination on the day of admission revealed pharyngeal redness only.
Laboratory examination revealed a white blood cell count of 18,600/cumm with 32% of eosinophils in the peripheral blood. Total cell count of cerebrospinal fluid was 1,078/cumm with 54% of eosinophils. Neither bacteria nor parasite were isolated from the cerebrospinal fluid.
After lumbar puncture, corticosteroid hormone was given.
The patient recovered without sequelae.