FEVER, REFUSAL TO WALK and EOSINOPHILIA IN A TEN-MONTH-OLD SAMOAN BOY

Maurer, Douglas; Greene, Jeffery P.; Vincent, J; Demers, Denise M.; Pedersen, Robert C.; Sitenga, Neil H.; Burton, Bradford S.

doi:10.1097/00006454-200102000-00027

Cited by 4 publications

(7 citation statements)

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“…As the clinical course progressed, he also lost strength in his upper extremities. 5 Similarly, an 11-month-old boy developed flaccid quadriparesis after infection with A. cantonensis. 6 The presence of worms in the brain of young children results in a progressive deterioration of CNS function as seen in the current case and in several others reported elsewhere.…”

Section: Discussionmentioning

confidence: 98%

Fatal Autochthonous Eosinophilic Meningitis in a Jamaican Child Caused by Angiostrongylus Cantonensis

Lindo

Escoffery²,

Reid³

et al. 2004

The American Journal of Tropical Medicine and Hygiene

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A fatal case of infection with Angiostrongylus cantonensis is reported in a 14-month-old Jamaican boy. Although infection with Angiostrongylus was not considered initially, sections of multiple worms were observed in the brain and lungs at autopsy and confirmed the infection. This is the first reported fatality due to this infection in the Western Hemisphere, and follows shortly after an outbreak of eosinophilic meningitis among a group of travelers to Jamaica. The source of infection in this case could not be determined.

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Section: Discussionmentioning

confidence: 98%

Fatal Autochthonous Eosinophilic Meningitis in a Jamaican Child Caused by Angiostrongylus Cantonensis

Lindo

Escoffery²,

Reid³

et al. 2004

The American Journal of Tropical Medicine and Hygiene

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“…A cantonensis is the most common cause of parasitic eosinophilic meningitis in humans living in Southeast Asia and throughout the Pacific Basin. Previous cases of parasitic eosinophilic meningitis in infants were distributed around Pacific, American Samoan, [ 1 , 2 ] Hawaii, [ 3 ] Jamaica, [ 4 ] and Australia. [ 5 ] Humans become infected with A cantonensis by consuming raw snails, vegetables, small mollusks, or fresh water contaminated with the third-stage larvae of this parasite.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with adults, infants are less likely to present headache, neck stiffness, and paresthesias but are more likely to present fever, irritability, and motor-function abnormalities. [ 1 – 5 ] The incidence rates of anorexia and constipation are relatively higher among infants than among adults. Our patient presented fever and refusal to walk.…”

Section: Discussionmentioning

confidence: 99%

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Eosinophilic meningitis caused by Angiostrongylus cantonensis in an infant

Zhang²,

Qiu³

2018

Medicine

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Rationale:Parasitic eosinophilic meningitis is rarely observed in infants. The diagnosis of this disease is complicated by its atypical and severe clinical manifestations.Patient concerns:An infant presented to our hospital with high fever and irritability, as well as refusal to walk. Cerebrospinal fluid collected through lumbar puncture showed increased eosinophil count and third-stage Angiostrongylus cantonensis larvae.Diagnoses:Eosinophilic meningitis was suspected.Interventions:We started empiric treatment with levamisole (14 mg bid, 2.5 mg/kg·day) and prednisone (17.5 mg qd, 1.5 mg/kg·day).Outcomes:All of the infant's symptoms were resolved approximately 72 hours after treatment. The patient fully recovered from her illness after completing 4 weeks of levamisole and prednisolone treatment.Lessons:A. cantonensis is the most common cause of parasitic eosinophilic meningitis cases in Southeast Asia. Physicians treating infants who live in areas where A. cantonensis is endemic and who present with irritability, abnormal motor function, and elevated eosinophil count should be aware of the disease to provide timely and rational therapy to the patients.

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“…Despite spinal cord involvement, findings of spinal MRI in patients with angiostrongyliasis are rarely described. Multiple enhanced-nodules in the spinal cord or nerve roots, 19 diffuse lepto-meningeal enhancement of the nerve root sheaths at the level of the cauda equina and lepto-meningeal covering of the spinal cord, 20 as well as intra-medullary spinal cord mass lesions, 21 have been reported. Unlike these reports, linear enhancements of the spinal cord surface over cervical and thoracic levels were found in our patient ( Figure 1C and D).…”

Section: Discussionmentioning

confidence: 99%

Eosinophilic Meningitis Caused by Angiostrongylus Cantonensis After Ingestion of Raw Frogs

Lai

Yen²,

Chin³

et al. 2007

The American Journal of Tropical Medicine and Hygiene

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Angiostrongylus cantonensis is the most common cause of eosinophilic meningitis in humans after ingestion of raw or inadequately cooked intermediate hosts or food contaminated with infective third-stage larvae. Frogs are known to be a paratenic host of A. cantonensis, but have never been reported as the infectious source of human angiostrongyliasis in Taiwan. We report the first case of eosinophilic meningitis caused by A. cantonensis after ingestion of raw frogs (Rana plancyi).

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FEVER, REFUSAL TO WALK and EOSINOPHILIA IN A TEN-MONTH-OLD SAMOAN BOY

Cited by 4 publications

References 0 publications

Fatal Autochthonous Eosinophilic Meningitis in a Jamaican Child Caused by Angiostrongylus Cantonensis

Fatal Autochthonous Eosinophilic Meningitis in a Jamaican Child Caused by Angiostrongylus Cantonensis

Eosinophilic meningitis caused by Angiostrongylus cantonensis in an infant

Eosinophilic Meningitis Caused by Angiostrongylus Cantonensis After Ingestion of Raw Frogs

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