Document Detail

Case of metagonimiasis complicated with multiple intracerebral hemorrhages and diabetes mellitus.
MedLine Citation:
PMID:  18360077     Owner:  NLM     Status:  MEDLINE    
Metagonimiasis yokogawai is an unusual intestinal parasitic disease caused by metacercariae of Metagonimus yokogawai. The first clinical manifestations of this disease do not always correlate with gastrointestinal signs. A 61-year-old man with left hemiparesis and disorientation was admitted to our hospital because of atypical nonhypertensive multiple intracerebral hemorrhages, which were conservatively treated. The patient was discharged from our hospital after 2 months without any neurological deficits; however, he was readmitted owing to a body temperature higher than 38 degrees C for nearly 2 weeks. Examination of stool revealed eggs of M. yokogawai, and the body temperature returned to normal after administration of praziquantel. Furthermore, the control of the patient's diabetes mellitus (DM) markedly improved after the treatment, although the patient had had DM for more than 2 years. We conclude that DM is a chronic sign of metagonimiasis in carriers and that intracerebral hemorrhage might be an acute sign in the aggravated phase of the disease.
Shoko Merrit Yamada; Shokei Yamada; Hitomi Takada; Yayoi Carol Hoshiai; Shotetsu Yamada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of Nippon Medical School = Nippon Ika Daigaku zasshi     Volume:  75     ISSN:  1345-4676     ISO Abbreviation:  J Nippon Med Sch     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-03-24     Completed Date:  2008-04-29     Revised Date:  2012-09-25    
Medline Journal Info:
Nlm Unique ID:  100935589     Medline TA:  J Nippon Med Sch     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  32-5     Citation Subset:  IM    
Department of Neurosurgery, Yamada Hospital, Shizuoka, Japan.
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MeSH Terms
Cerebral Hemorrhage / etiology*
Chronic Disease
Diabetes Mellitus / etiology*
Heterophyidae / isolation & purification
Intestinal Diseases, Parasitic / complications*,  drug therapy,  parasitology
Middle Aged
Praziquantel / therapeutic use
Treatment Outcome
Trematode Infections / complications*,  drug therapy,  parasitology
Reg. No./Substance:

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