Clinical Manifestations of Eosinophilic Meningitis Due to Infection with Angiostrongylus cantonensis in Children
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Eosinophilic meningitis, caused by the nematode Angiostrongylus cantonensis, is prevalent in northeastern Thailand, most commonly in adults. Data regarding clinical manifestations of this condition in children is limited and may be different those in adults. A chart review was done on 19 eosinophilic meningitis patients aged less than 15 years in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand. Clinical manifestations and outcomes were reported using descriptive statistics. All patients had presented with severe headache. Most patients were males, had fever, nausea or vomiting, stiffness of the neck, and a history of snail ingestion. Six patients had papilledema or cranial nerve palsies. It was shown that the clinical manifestations of eosinophilic meningitis due to A. cantonensis in children are different from those in adult patients. Fever, nausea, vomiting, hepatomegaly, neck stiffness, and cranial nerve palsies were all more common in children than in adults.
Abstract
Eosinophilic meningitis, caused by the nematode Angiostrongylus cantonensis, is prevalent in northeastern Thailand, most commonly in adults. Data regarding clinical manifestations of this condition in children is limited and may be different those in adults. A chart review was done on 19 eosinophilic meningitis patients aged less than 15 years in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand. Clinical manifestations and outcomes were reported using descriptive statistics. All patients had presented with severe headache. Most patients were males, had fever, nausea or vomiting, stiffness of the neck, and a history of snail ingestion. Six patients had papilledema or cranial nerve palsies. It was shown that the clinical manifestations of eosinophilic meningitis due to A. cantonensis in children are different from those in adult patients. Fever, nausea, vomiting, hepatomegaly, neck stiffness, and cranial nerve palsies were all more common in children than in adults.
참고문헌 (12)
- Wang QP, "Human angiostrongyliasis", Lancet Infect Dis, 8, pp.621~630 (2008)
- Sawanyawisuth K, "Treatment of angiostrongyliasis", Trans R Soc Trop Med Hyg, 102, pp.990~996 (2008)
- Ramirez-Avila L, "Eosinophilic meningitis due to Angiostrongylus and Gnathostoma species", Clin Infect Dis, 48, pp.322~327 (2009)
- Chotmongkol V, "Corticosteroid treatment of eosinophilic meningitis", Clin Infect Dis, 31, pp.660~662 (2000)
- Sawanyawisuth K, "Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals", Mem Inst Oswaldo Cruz, 105, pp.942~944 (2010)
- Sawanyawisuth K, "Clinical factors predictive of encephalitis caused by Angiostrongylus cantonensis", Am J Trop Med Hyg, 81, pp.698~701 (2009)
- Chotmongkol V, "Treatment of eosinophilic meningitis with a combination of albendazole and corticosteroid", Southeast Asian J Trop Med Public Health, 35, pp.172~174 (2004)
- Chotmongkol V, "Treatment of eosinophilic meningitis with a combination of prednisolone and mebendazole", Am J Trop Med Hyg, 74, pp.1122~1124 (2006)
- Jitpimolmard S, "Albendazole therapy for eosinophilic meningitis caused by Angiostrongylus cantonensis", Parasitol Res, 100, pp.1293~1296 (2007)
- Hwang KP, "Clinical studies on angiostrongyliasis cantonensis among children in Taiwan", Southeast Asian J Trop Med Public Health, 22, pp.194~199 (1991)
- Punyagupta S, "Eosinophilic meningitis in Thailand. Epidemiologic studies of 484 typical cases and the etiologic role of Angiostrongylus cantonensis", Am J Trop Med Hyg, 19, pp.950~958 (1970)
- Wan KS, "Eosinophilic meningitis in a child raising snails as pets", Acta Trop, 90, pp.51~53 (2004)
