脑弓形虫病临床症状缺乏特异性,易致误诊而延误治疗。我科近期收治1例脑弓形虫病患者,报道如下。 1 临床资料 患儿男性,7岁,主因头痛、呕吐15天、左下肢无力8天入院。15天前患儿无明显诱因感觉全身乏力,头痛,恶心伴有非喷射性呕吐,一周后在上述症状基础上出现左下肢肌力弱,行走困难,入院前五天完全不能行走。当地医院头CT示“颅内多发病灶”转来我院。既往:病前半月有“感冒”、发热病史,体温最高39℃,经青霉素治疗2天后症状消失。入院查体:神清,易哭闹,轻度烦躁,反应迟钝,双眼底视乳头水肿,左下肢肌力Ⅲ Toxoplasmosis clinical symptoms of lack of specificity, easy to cause misdiagnosis and delay treatment. Recently admitted to our department 1 patients with brain toxoplasmosis, reported as follows. 1 Clinical data Children, 7 years old, mainly due to headache, vomiting for 15 days, left lower extremity weakness 8 days admission. 15 days ago, no obvious incentive for children with generalized feeling of fatigue, headache, nausea accompanied by non-injected vomiting, a week later on the basis of the above symptoms of left lower limb muscle weakness, walking difficulties, five days before admission can not walk. Local hospital head CT showed “multiple intracranial lesions” transferred to our hospital. Past: Half a month before the “cold”, fever history, the highest temperature of 39 ℃, 2 days after penicillin treatment symptoms disappear. Admission examination: Shen Qing, easy to cry, mild irritability, unresponsive, bilateral papilledema, left lower extremity muscle strength Ⅲ