ADULT TOXOCARA-CANIS ENCEPHALITIS

A 48-year-old patient with Toxocara canis infection developed severe a taxia, rigor and neuropsychological disturbances. An aetiology was pro ven by an indirect immunofluorescence test. CT and MRI revealed both d iffuse and circumscribed white matter lesions. Angiography showed mult iple occlusion of branches of the middle cerebral artery. Anthelminthi c treatment was beneficial in the initial stage of the disease, but ha d no effect on progression of CNS symptoms. Immunosuppressive therapy with prednisolone and azathioprine yielded partial recovery and stabil isation of the patient.