Eosinophilic myeloencephalitis caused by gnathostoma spinigerum

Bunnag, T; Comer, D. S.; Punyagupta, Sompone

doi:10.1016/0022-510x(70)90023-7

Cited by 46 publications

(5 citation statements)

References 6 publications

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“…19 Cerebral filariasis has been documented with Loa loa, 20 Dirofilariae, 21 and Onchocerca volvulus. 22 These filarial parasites are endemic to parts of Africa and South America 23,24 and are extremely rare in India.…”

Section: Discussionmentioning

confidence: 99%

Microfilariae of Wuchereria bancrofti in cyst fluid of tumors of the brain: A report of three cases

Aron¹,

Kapila²,

Sarkar³

et al. 2002

Diagnostic Cytopathology

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Microfilariae of various nematodes, including Loa loa, Dirofilariae, and Onchocerca volvulus, have been identified in the central nervous system (CNS). The CNS, however, is a rare site for the isolation of microfilariae of Wuchereria bancrofti. To the best of our knowledge, the presence of microfilariae of W. bancrofti in tumor cyst fluids or cerebrospinal fluid has not been reported to date. We report three cases in which microfilariae were identified in the cyst fluid of tumors of the brain. Cyst fluid aspirated from space-occupying lesions in the thalamus and C6-D1 spinal segments in a 46-yr-old man and a 35-yr-old man, respectively, showed numerous microfilariae of W. bancrofti, along with fragments of tumor suggestive of glioma. In the third case, in a 12-yr-old boy, the fluid from the space-occupying lesion in the third ventricle showed microfilariae in a necrotic dirty background with a few squames and cholesteral crystals. Histopathologic examination of the tumor showed an anaplastic astrocytoma and a low-grade astrocytoma in the first two cases, respectively, and a craniopharyngioma in the third case. No microfilariae were identified on the histology sections.

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Section: Discussionmentioning

confidence: 99%

Microfilariae of Wuchereria bancrofti in cyst fluid of tumors of the brain: A report of three cases

Aron¹,

Kapila²,

Sarkar³

et al. 2002

Diagnostic Cytopathology

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“…6 Migration to other sites leads to visceral involvement of the lungs, gastrointestinal tract, genitourinary tract, ear, central nervous system, and eye; among which central nervous system infestation causes fatal eosinophilic myeloencephalitis. 7 whereas ocular involvement is rare. The most common manifestation of intraocular gnathostomiasis is anterior uveitis and intraocular parasite 8,3 because it mostly localizes itself in the anterior segment of the eye.…”

Section: Discussionmentioning

confidence: 99%

Intraocular Gnathostomiasis: A rare Case Report of a Live Intravitreal Worm

Mohanty¹,

Sk²

2020

DJO

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We report a rare case of intraocular gnathostomiasis from eastern India. A 32 year old male from Cuttack, Odisha presented to us with decreased vision in his left eye of counting fingers(CF) at 2 metres since 1 week without any pain, lid edema or periorbital swelling. Anterior segment was normal. Indirect ophthalmoscopy revealed a live motile worm in posterior vitreous cavity near macula. The worm was removed via pars plana vitrectomy. The removal was first attempted using flute needle but in vain and was finally done with end-grasping forceps. Microscopy revealed Gnathostoma spinigerum. The patient was treated with oral albendazole and steroids. The case is reported because of its rarity.

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“…Gnathostomes is one of the causes of larva migrans and may produce fatal eosinophilic myeloencephalitis [6]. If the parasite migrated to CNS it may cause cerebrovascular accident.…”

Section: Discussionmentioning

confidence: 99%

Intraocular Gnathostoma spinigerum: a case report

2009

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Live intraocular nematode is a rare occurrence that is mostly reported in South East Asian countries. Herewith we report such a case from Nayagarh district of Odisha. A 28 year old female presented with swelling, redness, lacrimation, pain & diminished vision of left eye since 2 1/2 years. Slit lamp examination revealed a worm piercing iris muscle. The worm was removed by paracentesis of anterior chamber and sent to the Department of Microbiology. It was identified to be Gnathostoma spinigerum basing on the typical morphology of its cephalic end. The patient responded completely to oral albendazole therapy.

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Eosinophilic myeloencephalitis caused by gnathostoma spinigerum

Cited by 46 publications

References 6 publications

Microfilariae of Wuchereria bancrofti in cyst fluid of tumors of the brain: A report of three cases

Microfilariae of Wuchereria bancrofti in cyst fluid of tumors of the brain: A report of three cases

Intraocular Gnathostomiasis: A rare Case Report of a Live Intravitreal Worm

Intraocular Gnathostoma spinigerum: a case report

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