Angiostrongylus cantonensis  Infection of Central Nervous System, Guiana Shield

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Abstract

We report a case of eosinophilic meningitis complicated by transverse myelitis caused by Angiostrongylus cantonensis in a 10-year-old boy from Brazil who had traveled to Suriname. We confirmed diagnosis by serology and real-time PCR in the cerebrospinal fluid. The medical community should be aware of angiostrongyliasis in the Guiana Shield.

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Most cited references 8

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Eosinophilic meningitis caused by Angiostrongylus cantonensis: an emergent disease in Brazil

Alessandra Loureiro Morassutti, Silvana Thiengo, Mónica Fernández Valencia … (2014)

Eosinophilic meningitis (EoM) is an acute disease that affects the central nervous system. It is primarily caused by infection with the nematode Angiostrongylus cantonensis. This infection was previously restricted to certain Asian countries and the Pacific Islands, but it was first reported in Brazil in 2007. Since then, intermediate and definitive hosts infected with A. cantonensis have been identified within the urban areas of many states in Brazil, including those in the northern, northeastern, southeastern and southern regions. The goals of this review are to draw the attention of the medical community and health centres to the emergence of EoM in Brazil, to compile information about several aspects of the human infection and mode of transmission and to provide a short protocol of procedures for the diagnosis of this disease.

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Clinical aspects of eosinophilic meningitis and meningoencephalitis caused by Angiostrongylus cantonensis, the rat lungworm.

Gerald S. Murphy, Stuart Johnson (2013)

Angiostrongylus Eosinophilic Meningitis is caused by human infection with larvae of the rat lungworm, Angiostrongylus cantonensis. The clinical presentation includes a spectrum of disease, from meningitis through radiculitis, cranial nerve abnormalities, ataxia, encephalitis, coma, and rarely death. The condition is diagnosed by recognizing the triad of: the clinical syndrome, eosinophils in the cerebrospinal fluid or blood, and exposure history. A history of eating raw or poorly cooked snails is classic, but ingestion of other intermediate hosts or unwashed produce (such as lettuce) harboring hosts is not uncommon. Several serologic tests exist but none has yet been fully validated. There is good evidence that a 2 week course of high dose corticosteroids shortens the duration and severity of symptoms. There is somewhat weaker evidence that albendazole reduces symptoms. The combination of prednisolone and albendazole is being used more commonly for treatment. Some suggestions for future research are given.

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Angiostrongylus cantonensis Meningitis and Myelitis, Texas, USA

Roukaya Al Hammoud, Stacy Nayes, James Murphy … (2017)

Infection with Angiostrongylus cantonensis roundworms is endemic in Southeast Asia and the Pacific Basin. A. cantonensis meningitis and myelitis occurred in summer 2013 in a child with no history of travel outside of Texas, USA. Angiostrongyliasis is an emerging neurotropic helminthic disease in Texas and warrants increased awareness among healthcare providers.

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Author and article information

Journal

Journal ID (nlm-ta): Emerg Infect Dis

Journal ID (iso-abbrev): Emerging Infect. Dis

Journal ID (publisher-id): EID

Title: Emerging Infectious Diseases

Publisher: Centers for Disease Control and Prevention

ISSN (Print): 1080-6040

ISSN (Electronic): 1080-6059

Publication date (Print): June 2018

Volume: 24

Issue: 6

Pages: 1153-1155

Affiliations

[1]Andrée Rosemon Hospital, Cayenne, French Guiana (A.L. Defo, N. Lachaume, E. Cuadro-Alvarez, C. Maniassom, E. Martin, F. Njuieyon, F. Henaff, Y. Mrsic, A. Brunelin, L. Epelboin, D. Blanchet, M. Demar, N. Elenga);

[2]Université de Guyane, Cayenne (L. Epelboin, D. Blanchet, M. Demar, N. Elenga);

[3]Basse-Terre Hospital, Guadeloupe, French West Indies (D. Harrois);

[4]University Hospital of Martinique, Fort-de-France, Martinique (N. Desbois-Nogard);

[5]Centers for Disease Control and Prevention, Atlanta, Georgia, USA (Y. Qvarnstrom);

[6]University Hospital of Grenoble-Alpes, Grenoble, France (C. Dard)

Author notes

Address for correspondence: Antoine L. Defo, Andrée Rosemon Hospital, Pediatric Department, rue des Flamboyants, BP 6006, 97306 Cayenne CEDEX, French Guiana; email: antoine.defo@ 123456ch-cayenne.fr

Article

Publisher ID: 18-0168

DOI: 10.3201/eid2406.180168

PMC ID: 6004866

PubMed ID: 29774852

SO-VID: b418be80-294e-4b39-86c4-4807add9a9d4

Angiostrongylus cantonensis Infection of Central Nervous System, Guiana Shield

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Most cited references 8

Eosinophilic meningitis caused by Angiostrongylus cantonensis: an emergent disease in Brazil

Clinical aspects of eosinophilic meningitis and meningoencephalitis caused by Angiostrongylus cantonensis, the rat lungworm.

Angiostrongylus cantonensis Meningitis and Myelitis, Texas, USA

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