Adult Toxocara canis encephalitis

A 48-year-old patient with Toxocara canis infection developed severe ataxia, rigor and neuropsychological disturbances. An aetiology was proven by an indirect immunofluorescence test. CT and MRI revealed both diffuse and circumscribed white matter lesions. Angiography showed multiple occlusion of branches of the middle cerebral artery. Anthelminthic treatment was beneficial in the initial stage of the disease, but had no effect on progression of CNS symptoms. Immunosuppressive therapy with prednisolone and azathioprine yielded partial recovery and stabilisation of the patient.