A rare case of eosinophilic meningitis
DOI:
https://doi.org/10.18203/2349-3291.ijcp20231509Keywords:
Eosinophilic meningitis, Toddler, AngiostrongylusAbstract
Eosinophilic meningitis is a rare form of meningitis, usually caused by helminthic infection and the most common agent is Angiostrongylus cantonensis. It has a variable clinical presentation that ranges from cranial nerve abnormalities, ataxia, meningitis, encephalitis and rarely death. As the literature and reviews on this topic are rare, the standard treatment for eosinophilic meningitis caused by A. cantonensis infection has always been controversial. There is evidence that a 2-week course of high dose corticosteroid along with albendazole have helped in management. Here we discuss the case of a toddler with eosinophilic meningitis with Angiostrongylus species.
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Weller PF, Ryan ET. Eosinophilic Meningitis. Available at: https://www.uptodate.com/contents/eosinophilic-meningitis. Accessed on 12 March, 2023.
Liu WL. Eosinophilic meningitis. Semin Neurol. 1993;13:161-8.
Centers for Disease Control and Prevention. Parasites-Angiostrongyliasis (also known as Angiostrongylus Infection): Disease. Available at: https://www.cdc.gov/parasites/angiostrongylus/disease.html. Accessed on February 13, 2023.
Punyagupta S, Juttijudata P, Bunnag T. Eosinophilic meningitis in Thailand. Clinical studies of 484 typical cases probably caused by Angiostrongylus cantonensis. Am J Trop Med Hyg. 1975;24:921.
Yang B, Yang L, Chen Y, Lu G. Magnetic resonance imaging findings and clinical manifestations in cerebral angiostrongyliasis from Dali, China. Brain Behav. 2019;9:e01361.
Tsai HC, Liu YC, Kunin CM. Eosinophilic meningitis caused by Angiostrongylus
cantonensis associated with eating raw snails: correlation of brain magnetic resonance imaging scans with clinical findings. Am J Trop Med Hyg. 2003;68:281.
Jin E, Ma D, Liang Y. MRI findings of eosinophilic myelomeningoencephalitis due to Angiostrongylus cantonensis. Clin Radiol. 2005;60:242.
Graeff-Teixeira C, da Silva ACA, Yoshimura K. Update on eosinophilic meningoencephalitis and its clinical relevance. Clin Microbiol Rev. 2009;22(2):322-48.
Sawanyawisuth K, Sawanyawisuth K. Treatment of angiostrongyliasis. Trans R Soc Trop Med Hyg. 2008;102:990.
Thanaviratananich S, Thanaviratananich S, Ngamjarus C. Corticosteroids for parasitic eosinophilic meningitis. Cochrane Database Syst Rev. 2015;CD009088.
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