Cases reported "Strongylida Infections"

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11/14. Ocular angiostrongyliasis in a child--first case report from india.

    A rare case report of angiostrongylus cantonensis (rat lung worm) from the eye is presented here. This worm generally causes eosinophilic meningo-encephalitis and accidentally infects humans by ingestion of uncooked snails, slugs, frogs etc. The child was presented to us with diminished vision in left eye. Slit lamp examination showed an actively motile worm in the anterior chamber. Surgical extraction of the worm was performed and it was identified as A. cantonensis. This is the first case of ocular A. cantonensis infection from india with no signs or symptoms of meningitis. After surgery, the visual acuity of the patient returned to normal.
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ranking = 1
keywords = meningitis
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12/14. Necrotizing retinitis induced by angiostrongylus cantonensis.

    PURPOSE: To describe a case of bilateral necrotizing retinitis induced by angiostrongylus cantonensis. DESIGN: Interventional case report. methods: A 52-year-old Asian woman developed eosinophilic meningitis after eating several undercooked snails. One week later, sudden onset of vision loss was noted in both eyes. Widespread yellow retinal exudates were accompanied by bullous retinal detachment in both eyes. RESULTS: angiostrongylus cantonensis infection was confirmed by positive enzyme-linked immunosorbent assay of the serum and cerebrospinal fluid, and a positive Western blot test of the subretinal fluid. After treatment with mebendazole, levamisole, and corticosteroid, these necrotizing patches regressed gradually. However, the final visual acuity was no light perception. CONCLUSIONS: angiostrongylus cantonensis infection should be considered as one of the causes of necrotizing retinitis.
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ranking = 1
keywords = meningitis
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13/14. optic neuritis secondary to angiostrongylus cantonensis infection.

    PURPOSE: To describe a case of optic neuritis secondary to angiostrongylus cantonensis infection. METHOD: Case report of a patient with eosinophilic meningitis secondary to A. cantonensis infection. The patient developed a sudden decrease in visual acuity with a visual field defect and color vision loss in his left eye. Both visual evoked potential and clinical manifestations suggested the diagnosis of optic neuritis (os). RESULT: After two weeks of larvicidal drugs and steroid treatment, the patient's visual acuity and color vision had dramatically improved. CONCLUSION: optic neuritis may occur in patients with A. cantonensis meningitis. Treatment with a combination of steroid and larvicidal agents may be beneficial to these patients.
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ranking = 2
keywords = meningitis
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14/14. Eosinophilic meningitis due to angiostrongylus cantonensis.

    angiostrongylus cantonensis is a nematode parasite that inhabits the pulmonary arteries and heart of rodents. It is one of the causative agents of fatal eosinophilic meningoencephalitis in man. We present five cases of eosinophilic meningitis presumably due to infection with angiostrongylus cantonensis . All the five patients gave history of ingestion of monitor lizard within ten days of onset of symptoms.
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ranking = 5
keywords = meningitis
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