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Tips. Angiostrongyloidiasis is a kind of foodborne parasitic disease, also known as eosinophilic meningitis, which is caused by the parasitic nematodes of the heart and lungs of rodents, that is, the larvae (even or adult) of Angiostrongyloides cantonensis parasitize in the central nervous system of humans, and there is no danger of the disease infecting people.
The lesion can cause a large number of eosinophils in the cerebrospinal fluid, and in severe cases, larvae can still be found in the cerebrospinal fluid, resulting in eosinophilic meningitis or meningoencephalitis, which generally does not leave sequelae, but it is not ruled out that it may cause headache or dementia and other problems.
Among the infected people, the milder disease may only have transient paresthesias, mild headache and low-grade fever, etc., and the symptoms will disappear in about three to five days; People with severe disease can cause more severe neurological lesions.
Angiostrongyloidiasis is a kind of foodborne parasitic disease, also known as eosinophilic meningitis, which is caused by the parasitic nematodes of the heart and lungs of rodents, that is, the larvae (even or adult) of Angiostrongyloides cantonensis parasitize in the central nervous system of humans, and there is no danger of the disease infecting people.
The lesion can cause a large number of eosinophils in the cerebrospinal fluid, and in severe cases, larvae can still be found in the cerebrospinal fluid, resulting in eosinophilic meningitis or meningoencephalitis, which generally does not leave sequelae, but it is not ruled out that it may cause headache or dementia and other problems.
Among the infected people, the milder disease may only have transient paresthesias, mild headache and low-grade fever, etc., and the symptoms will disappear in about three to five days; People with severe disease can cause more severe neurological lesions.
Strongyloidiasis is preventable and treatable, and after the diagnosis of strongyloidiasis, it is treated with drugs such as prothhimidazole**.
The prognosis is mainly determined according to the specific situation of the patient, such as the number of insect infections, the patient's physique and whether it can be detected early, early, etc., and the vast majority of patients have a good prognosis.
Therefore, it is recommended that people who have eaten the above foods, if they have abnormal reactions and discomfort, should see a doctor as soon as possible within 3 days to 30 days for early detection, early diagnosis, and early **.
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If the number is large and the disease is severe, you can go to the parasite research center to check for antibodies; If the number is small, it is currently impossible to diagnose by conventional methods, and only a few hospitals have relevant departments, and if the patient is unable to provide a confirmatory test report, the patient will only be advised to go to the neurology department or psychology department for treatment.
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Categories: Medical, Diseases, >> Infectious Diseases.
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Analysis: Angiostrongyloidiasis: a kind of foodborne parasitic disease, also known as eosinophilic meningitis, is caused by the parasitic nematodes of the heart and lungs of rodents, Zheng Qi, that is, the larvae (or adults) of Angiostrongyloides cantonensis parasitized in the human central nervous system.
Eosinophilic meningitis or meningoencephalitis may occur.
"Angiostrongyloidiasis" is mainly endemic in the southern provinces of China and Southeast Asia, and the main culprit of the disease is Fushou snail. The parasite parasitizes in the cerebrospinal fluid of the person, causing headache, dizziness, fever, neck stiffness, facial nerve paralysis and other symptoms, and its larvae cause human eosinophilic meningitis and meningoencephalitis, which can cause dementia and even death in severe cases.
Fu Xinmin, deputy chief physician of the Department of Infectious Diseases at Nanjing First Hospital, said that "Guangzhou strongyloidiasis" can be prevented, as long as it is heated to more than 80 degrees Celsius, it can kill the parasite. The public should not eat snails, fish, shrimps, crabs and other aquatic products that are fresh or not thoroughly heated, and workers, cooks and other personnel engaged in the processing of snail meat should do a good job of protection. If the public eats undercooked pigs, cattle, sheep, chickens, ducks, rabbits, freshwater fish, shrimps, crabs, etc., and has abnormal symptoms, such as "three highs" (high fever, high eosinophils, high cranial pressure), "three pains" (headache, muscle pain, stinging) and other symptoms, it is necessary to seek medical attention in time to avoid delaying the disease.
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This disease usually occurs in warm, humid and unhygienic enclosures. The disease is mainly caused by the parasitism of strongyloides faecalis, but also includes strongyloides scapularis and strongyloides flexnerii. Strongyloides faecalis is a small, elongated nematode with an almost transparent body that lives in the mucous membranes of the duodenum and jejunum.
Strongyloides is a parasite whose eggs can quickly develop into embryos, hatch before being excreted by dogs, and develop into stage III larvae in just over 1 day under suitable temperature and humidity conditions. One part of the larvae develops into an infectious filamentous larvae, and the other part develops into a free-living adult. The free-living adult body produces offspring similar to that of the parasitic female after mating, and the filamentous larvae infect the dog through the oral mucosa or **.
After 7 to 10 days in infected dogs, eggs are excreted from the feces.
Symptoms only appear when the parasitism is severe. Typical symptoms are emaciation, stunting, and passage of mucus and blood-streaked feces in the dog, with only mild fever or little change in body temperature, and itching in secondary bacterial infections.
This disease tends to occur in hot and humid summers, and the incidence of group dogs is high. One subcutaneous injection of ivermectin (, which kills the worms. Oral pyrimethamine (thibendazole or dithiazole) may also be taken by mouth.
Strengthen the sanitation and disinfection of the environment and kennels, isolate puppies and diarrheal dogs, clean the kennel with concentrated salt water and lime water, and then rinse it with hot water, which can effectively kill insects. This pest and disease is common to humans and birds, so it should be treated with caution.
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When the worm is alive, it is white and linear, transparent, slightly thin at both ends, 42mm long, and a distinct blood-filled intestinal tube can be seen. Microscopically, the corneal cortex is transparent and smooth, with fine annular striations. The head is blunt and round, there is no obvious mouth sac or lip flap at the front end, the intestinal tube filled with blood penetrates the worm body, the flesh pink uterus and intestinal tube are entangled, and no eggs are found.
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Angiostrongylus cantonensis is an animal parasite, which was first discovered by Professor Chen Xintao in Guangdong in 1933. In 1945, the first case of canton strongyloidiasis was detected in Taiwan, and it was reported in Pacific islands and Southeast Asian countries. In China, only He Jingzhi et al. (1984) and Chang Zhengshan et al. (1997) isolated the pathogen of Angiostrongyloides cantonensis in the CSF of patients, and so far there are only more than 3 000 cases in the world according to incomplete statistics of official records.
In this paper, one case of Angiostrongylus cantonensis larvae was excreted with nasal secretions, which is rare.
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