PMID- 37469762
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230721
IS  - 2734-1461 (Electronic)
IS  - 2765-4559 (Print)
IS  - 2734-1461 (Linking)
VI  - 1
IP  - 2
DP  - 2021 Apr
TI  - Cerebral Toxocara canis larval infection presenting as delayed encephalopathy and 
      nonconvulsive status epilepticus: a case report.
PG  - 51-55
LID - 10.47936/encephalitis.2021.00024 [doi]
AB  - Adult cerebral Toxocara canis larval infections are rare. Humans are infected by 
      contacting soil that contains infectious eggs or by eating undercooked meat. We 
      encountered a patient with cerebral T. canis infection who showed recurrent 
      altered mentality with nonconvulsive status epilepticus (NCSE). A 71-year-old 
      male was admitted with complaints of drowsy mentality and abnormal behavior. 
      Magnetic resonance imaging revealed non-enhanced multiple gliosis and calcified 
      lesions. Electroencephalography revealed NCSE, which was cured with valproate. 
      However, he was readmitted because of recurrence of symptoms. On cerebrospinal 
      fluid examination, T. canis antibodies were observed. Subsequently, he was 
      treated with albendazole and corticosteroids. Although corticosteroid improved 
      his symptoms, the therapy could not be continued because the patient developed 
      septic shock. This is the first report of cerebral T. canis larval infection 
      presenting as delayed encephalopathy and NCSE. In patients with unexplainable 
      progressive encephalopathy, particularly when gliosis or calcified lesions are 
      observed on neuroimaging, cerebral T. canis larval infection should be considered 
      and treated promptly.
CI  - Copyright (c) 2021 Korean Encephalitis and Neuroinflammation Society.
FAU - Lee, Jung-Ju
AU  - Lee JJ
AUID- ORCID: 0000-0001-7498-5656
AD  - Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, 
      Korea.
FAU - Kang, Kyusik
AU  - Kang K
AD  - Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, 
      Korea.
FAU - Lee, Woong-Woo
AU  - Lee WW
AD  - Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, 
      Korea.
FAU - Kim, Byung-Kun
AU  - Kim BK
AD  - Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, 
      Korea.
FAU - Park, Jong-Moo
AU  - Park JM
AD  - Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, 
      Korea.
FAU - Kwon, Ohyun
AU  - Kwon O
AD  - Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, 
      Korea.
FAU - Cho, Soohyun
AU  - Cho S
AD  - Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, 
      Korea.
LA  - eng
PT  - Case Reports
DEP - 20210405
PL  - Korea (South)
TA  - Encephalitis
JT  - Encephalitis (Seoul, Korea)
JID - 9918592381006676
PMC - PMC10295886
OTO - NOTNLM
OT  - Adrenal cortex hormones
OT  - Albendazole
OT  - Status epilepticus
OT  - Toxocara canis
COIS- Conflicts of Interest No potential conflict of interest relevant to this article 
      was reported.
EDAT- 2021/04/01 00:00
MHDA- 2021/04/01 00:01
PMCR- 2021/04/01
CRDT- 2023/07/20 04:08
PHST- 2021/02/03 00:00 [received]
PHST- 2021/03/03 00:00 [revised]
PHST- 2021/03/10 00:00 [accepted]
PHST- 2021/04/01 00:01 [medline]
PHST- 2021/04/01 00:00 [pubmed]
PHST- 2023/07/20 04:08 [entrez]
PHST- 2021/04/01 00:00 [pmc-release]
AID - encephalitis-2021-00024 [pii]
AID - 10.47936/encephalitis.2021.00024 [doi]
PST - ppublish
SO  - Encephalitis. 2021 Apr;1(2):51-55. doi: 10.47936/encephalitis.2021.00024. Epub 
      2021 Apr 5.