1/14. A fatal case of angiostrongyliasis in an 11-month-old infant.An 11-month-old boy developed flaccid quadriparesis after two months in fiji, and was transferred to australia, where a diagnosis of postinfectious myelitis was made. Despite peripheral blood eosinophilia, eosinophils were not detected in the cerebrospinal fluid, and an infective aetiology was not identified. The patient died of progressive bulbar dysfunction. At autopsy, numerous nematodes, identified as angiostrongylus cantonensis, were seen in vessels of the lungs, brain and spinal cord, associated with pulmonary abscesses and eosinophilic meningitis. A notable feature was the presence of adult nematodes in the lung.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
2/14. Eosinophilic meningitis. An unusual cause of headache.Human parasitic infections are uncommon outside the tropical north but common in animals throughout australia. The rat lung worm, angiostrongylus cantonensis, can invade the human brain to cause a chronic meningitis with prolonged headache. This condition can be diagnosed by finding a high eosinophil count in cerebrospinal fluid (CFS), the lumbar puncture also provides symptomatic relief. The outcome is usually benign but death has been reported.- - - - - - - - - - ranking = 5keywords = meningitis (Clic here for more details about this article) |
3/14. Horizontal conjugate gaze palsy in eosinophilic meningitis.Two cases of eosinophilic meningitis who presented with headache and strabismus are reported. Pertinent physical examination revealed unilateral horizontal conjugate gaze palsy with absence of doll's eye maneuver and hemiparesis. The etiologic agent of eosinophilic meningitis is presumed to be angiostrongylus cantonensis and the infected location that produce horizontal conjugate gaze palsy was a pontine lesion.- - - - - - - - - - ranking = 6keywords = meningitis (Clic here for more details about this article) |
4/14. Eosinophilic meningitis due to angiostrongylus cantonensis in a returned traveler: case report and review of the literature.angiostrongylus cantonensis, the rat lungworm, is the principal cause of eosinophilic meningitis worldwide, and the increase in world travel and shipborne dispersal of infected rat vectors has extended this parasite to regions outside of its traditional geographic boundaries. We report a case of eosinophilic meningitis due to A. cantonensis in a patient who recently returned from a trip in the Pacific.- - - - - - - - - - ranking = 6keywords = meningitis (Clic here for more details about this article) |
5/14. Ocular angiostrongyliasis without meningitis symptoms in Okinawa, japan.A 62-year-old female farmer presented with retinal detachment in her left eye, and an angiostrongylus cantonensis worm was recovered by vitreous surgery. The case did not show typical clinical symptoms indicating meningitis, although the patient complained of a mild headache, a low-grade fever, and slight ataxia. The symptoms were treated as influenza before the onset of the retinal detachment. The present case is the first confirmed of ocular angiostrongyliasis in japan.- - - - - - - - - - ranking = 5keywords = meningitis (Clic here for more details about this article) |
6/14. angiostrongylus cantonensis infection mimicking a spinal cord tumor.angiostrongylus cantonensis is the most common cause of eosinophilic meningitis and meningoencephalitis. Almost all cases are self-limiting and are diagnosed by cerebrospinal fluid eosinophilia and enzyme-linked immunosorbent assay; pathology reports are restricted to postmortem samples from lethal cases. We report on what we believe is the first case of A. cantonensis infection diagnosed by biopsy in a living patient. The spinal cord was biopsied because of the unusual clinical presentation of a myelopathy without meningeal symptoms, together with a mass lesion that was clinically and radiologically diagnosed as a spinal cord tumor.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
7/14. Intravitreal angiostrongyliasis: report of 2 cases.Two male patients presented with unilateral blurred vision. A small motile worm was found in the vitreous cavity in both cases. In one case, another dead, disintegrated worm was noted in the inferior portion of the vitreous cavity. On each eye, vitreous surgery was performed and the worm was removed by an aspirator. Both worms were identified as angiostrongylus cantonensis. Since both patients had no signs of meningitis, lumbar puncture was not done. Long-term follow-up confirmed the benefit and safety of the vitreous surgery. fluorescein angiography revealed severe pigmentary alteration, probably from inflammation of the choroid and retina due to subretinal migration of the worm prior to access into the vitreous cavity.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
8/14. Angiostrongylus eosinophilic meningitis associated with sensorineural hearing loss.A 59-year-old woman who presented with chronic headache, neck stiffness and left-sided hearing loss is reported. The diagnosis of angiostrongylus eosinophilic menigitis was made. The patient improved after treatment with prednisolone, including hearing. Angiostrongylus eosinophilic meningitis associated with sensorineural hearing loss has not previously been reported.- - - - - - - - - - ranking = 5keywords = meningitis (Clic here for more details about this article) |
9/14. Eosinophilic meningitis due to angiostrongylus cantonensis in switzerland.Eosinophilic meningitis is a well-known disease in areas where the rat lung worm angiostrongylus cantonensis is endemic, i.e. in Southeast asia and in the Caribbean. We report a case of eosinophilic meningitis due to infection with angiostrongylus cantonensis in a traveler returning from cuba. The diagnosis was based upon symptoms of chronic meningitis associated with hyperesthesia and presence of eosinophilia in the cerebrospinal fluid. With increasing mobility rare infections like eosinophilic meningitis due to A. cantonensis may be encountered in the western hemisphere. A Giemsa stain of the cerebrospinal fluid is crucial for a prompt diagnosis that is confirmed by detection of specific antibodies.- - - - - - - - - - ranking = 8keywords = meningitis (Clic here for more details about this article) |
10/14. Fatal autochthonous eosinophilic meningitis in a Jamaican child caused by angiostrongylus cantonensis.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.- - - - - - - - - - ranking = 5keywords = meningitis (Clic here for more details about this article) |
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