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The reason why the living insect crawled into the 23-year-old girl's brain was that she ate it two years ago

Hits: 3897002 2020-05-03

"There is a living insect with a length of more than 10 cm in my mind", which seems like a horrible "movie bridge" is staged beside us. Recently, doctors in neurosurgery department of Gulou Hospital Affiliated to Nanjing University Medical College performed a special operation to catch a 10 cm living sparganum in the girl's brain. After catching the brain, the insect is still moving.
Girls have recurrent headaches due to parasite infection
Three months ago, Xiaoyi, only 23 years old, suffered from repeated head pain without obvious inducement, accompanied by nausea and vomiting. He went to the local hospital to check the magnetic resonance imaging and found that there was abnormal signal on the right forehead, the cerebrospinal fluid protein was on the high side, so he was considered as a viral infection. After giving mannitol dehydration and ganciclovir antiviral treatment, Xiaoyi's symptoms were relieved and he was discharged home. Unexpectedly, less than three months later, Xiaoyi's condition suddenly worsened and left facial paralysis accompanied by tinnitus broke out.
This time, Mr showed that although the abnormal signal of the right frontal lobe had been reduced, a larger abnormal signal shadow appeared in the same side of the back of the brain, and the focus presented multiple irregular circle shadows, like a coiled earthworm! At the same time, Xiaoyi's serum parasite test showed that the antigen of sparganum was positive, which suggested that the infection of sparganum might be possible.
Accurate location of focus by neuronavigation
CDC found spargana in frog leg
Under the doctor's inquisition, Xiaoyi said that she once ate a saliva frog when traveling two years ago! The incident gradually became clear. Doctors speculated that the frog meat eaten by Xiaoyi two years ago might not be cooked, which contained sparganum, which lived in Xiaoyi's intestinal tract. When the time was right, the sparganum would penetrate the diaphragm from the abdominal cavity and ascend along the internal carotid artery into the brain. First, the sparganum would cause damage to the brain in Xiaoyi's forehead, and then it would grow rapidly in a few months, and continue to swim in the brain, "devour" and damage Damage brain tissue and cause related symptoms.
Considering the rapid growth of insects in Xiaoyi brain, surgery is imminent. Otherwise, insects will continue to grow up, which will not only cause mechanical damage to brain, compress normal brain tissue, block blood vessels or CSF channels, but also aggravate brain tissue damage by secreting toxins or causing related allergic reactions.
Director hang Chunhua leads the team to operate
Director hang Chunhua of Neurosurgery Department of Gulou Hospital led Dr. Dai Wei and Dr. Chen Chunlei to immediately carry out parasite removal under neuronavigation for Xiaoyi. During the operation, when Xiaoyi's brain was opened, we found a living white striped insect. The insect kept twisting and even wanted to drill out of the brain. When it was taken out completely, it was found that the insect had a length of 15cm. After it left the human body, it did not die immediately. It was still squirming and lived for a long time.
The operation succeeded in removing a live worm of more than ten centimeters
After removing the insect, director hang Chunhua continued to check whether the brain tissue around the insect was damaged. After carefully cleaning the necrotic brain tissue that was "eaten" by the insect, he closed his head and ended the operation. After the operation, it was easy to recover well. On the first day after the operation, MRI showed that the insects had been completely removed, and only part of the edema was to be absorbed.
On the first day after operation, MRI showed that the parasite was completely removed
[expert reminder]
Brain parasites are usually parasitized in the brain by adults, larvae and eggs of medical protozoa or medical worms, causing brain damage and inflammation. Do not think that brain parasite infection is far away from us. People should pay enough attention to it and prevent it in daily life.
Meat is cooked and eaten as much as possible. Nowadays, people's pursuit of delicious food is to pursue a word of "fresh". In order to pursue the delicious taste, the eaters sometimes try to eat some foods that can't be eaten raw. There are many foods in life that can't be eaten raw. Familiar ones are pork, mutton and beef. If you don't pay attention, you will be infected with tapeworm and Toxoplasma. What's more remarkable is the meat of snakes and frogs, which contains the eggs of protocercaria and will enter the human body alive. Some people use fresh water fish as sashimi. Compared with sea fish, fresh water fish have more parasites, which is a very dangerous behavior!
02 the chopping board and kitchen knife need to be separated from raw and cooked. Many family pictures are convenient. Both raw and cooked dishes use one chopping board and kitchen knife, which is potentially dangerous. If you take the chopping board and knife that have just cut the raw meat, and then cut the cooked food, the cooked food will be contaminated with the parasites of the raw meat. The cooked food will not be cooked again. If you take it directly, you will eat the parasites into your stomach. In order to prevent parasite infection, the chopping board and the kitchen knife must be separated from each other.
Do not drink raw water in daily life, even if you are thirsty, because there is a risk of infection with parasites. In the initial disinfection of the water plant, there is no way to completely kill the parasites. Swimming in the wild is not only dangerous, but also may cause parasite infection by swallowing the river water by mistake. In addition, when some people are traveling outdoors, they may want to taste the clear spring water, but they don't know that the seemingly clean spring water may have hidden dangers.
To form good health habits in daily life is also a key point to prevent brain infection with parasites. For example, wash your hands before and after eating. Do not eat raw melon, fruit and vegetables that are not washed. If you have pets at home, you must take them to repel insects regularly to keep them clean and prevent people and animals from infecting each other.
At the same time, director hang also reminded everyone that although neurosurgery of Gulou Hospital will do their best to protect everyone's health, we should also pay attention to the dizziness and headache symptoms in our daily life. Once the symptoms appear or worsen repeatedly, we must go to the specialized clinic of the regular hospital for consultation and inspection, so that doctors can diagnose and treat them in time.
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Source: Yangzi Evening News, Qianjiang Evening News
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