There are seven cases including 3 men and for women,
age from 28 to 42,suffering from constant severe headache
lasting 3 to 10 days. 3 present stabbing pain in limbs,
1 with paroxysmal intercostal neuralgia, 1 has burning
sensation over entire body, 6 cases have low grade fever(37.2 to 38.2 C)
P E: 6 cases showed clear conscioisness,
all patients showed soft neck , Brudziskis and
Kernig' signs are negative, one case has ? positive Babinski
Cranial nerves and muscle power are normal in all cases
5 cases with general or local region pain and hyperpathia in
the relative region
No subcutaneous swelling, nodule or rush found.
WBC-- Eos 9-37%, LP: 2 cases
CSF: pressure incresed
WBC: 225-1400/mm3, Eos 16-72%
glucose: normal, Protein; 0.50-1.09g/L
Chloride 93mmol/L (low), one case was normal
Skull CT scan: normal
Epidemiology: All patients eat some uncooked food
including sea snail, 1 to 2 weeks before
the symptoms present.
(We also found another 12 cases had similar symptoms,
in a group of 20 persons,they had the same dinner
Our Clinical Diagnosis: Eosinophilic Meningoencephalitis
Gnathostaomiasic Spinigera ?
Sinc we do not have any special immunological tests
available for these patients, please ,Help!
2) Any suggestions for further examination,testing and methods
Thanks in advance
2nd Hospital of W.M.C.
Wenzhou city, Zejiang
E-mail: <emyco at ppp.wzptt.zj.cn>