Health care providers in the United States, especially those in areas in the southern United States where autochthonous cases have been reported, need to be aware of the possibility of angiostrongyliasis in patients with eosinophilic meningitis
Distribution of eosinophilic meningitis
cases attributable to Angiostrongylus cantonensis, Hawaii.
Eamsobhana, "Eosinophilic meningitis
caused by Angiostrongylus cantonensis-a neglected disease with escalating importance," Tropical Biomedicine, vol.
The statistical significance of the differences in concentrations between patients with eosinophilic meningitis
or meningoencephalitis and controls was assessed by means of Wilcoxon rank-sum test.
cantonensis parasites as a cause of eosinophilic meningitis
in the region, although the proportion of A.
In May 2014, a male, aged 15 months from rural Ohio was brought to the hospital with lethargy and seizures and was found to have eosinophilic meningitis
based on CSF testing.
cantonensis is endemic in rats in Asia, the Pacific Islands, China, Australia and parts of North and South America, where human cases of eosinophilic meningitis
Severe eosinophilic meningitis
owing to Angiostrongylus cantonensis in young Jamaican children: case report and literature review.
is defined as a CSF eosinophil count above 10% of the total cell count, or exceeding 10 eosinophils/pL.
This case highlights the importance of considering baylisascariasis in all patients with eosinophilic meningitis
, and it underscores the importance of obtaining a detailed exposure history, understanding the causes of eosinophilic meningitis
, and initiating early aggressive therapy when infection is suspected.
The rat lungworm, Angiostrongylus (Parastrongylus) cantonensis, causes eosinophilic meningitis
in humans (4) and various disease manifestations (meningoencephalitis, neurologic disorders) in atypical host species, including wildlife and captive animals (5).
infection is usually seen as self-limited eosinophilic meningitis
and only rarely causes severe disease with prominent spinal or cerebral involvement (1).