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Case Reports in Medicine
Volume 2011 (2011), Article ID 503913, 4 pages
http://dx.doi.org/10.1155/2011/503913
Case Report

Toxocariasis Presenting as Encephalomyelitis

1Department of Neurology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium
2Department of Internal Medicine, General Hospital Sint-Jan, Ruddershove 10, 8000 Bruges, Belgium
3Department of Neurology, General Hospital Sint-Jan, Ruddershove 10, 8000 Bruges, Belgium

Received 2 February 2011; Accepted 11 March 2011

Academic Editor: Massimo Gallerani

Copyright © 2011 Gregory Helsen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe a farmer who presented with a clinical picture of a transverse thoracic myelitis. MRI showed inflammatory lesions in brain and thoracic spinal cord. Toxocariasis was suspected because of eosinophilia in blood and cerebrospinal fluid, and this diagnosis was confirmed immunologically. He was successfully treated with antihelminthics in combination with corticosteroids. Neurotoxocariasis is rare and diagnosis can be difficult because of the different and atypical clinical manifestations. It should be considered in every case of central neurological syndrome associated with eosinophilia.