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A case report on eosinophilic meningitis caused by Angiostrongylus cantonensis
Jingyao Liu1, Jiguo Gao, Chunkui Zhou
1Department of Neurology, Jilin University First Hospital, Changchun 130031, China.
Abstract:
Angiostrongylus cantonensis is the most common cause of eosinophilic meningitis in humans. It is usually caused by ingestion of raw or inadequately cooked intermediate hosts or food contaminated with infective third-stage larvae. We describe a case of eosinophilic meningitis caused by A. cantonensis in a male Chinese patient. The patient had a history of eating raw fish and snail. We describe the clinical features of the patient, the diagnostic process and treatments. We also provide a brief update for physicians on the characteristics, diagnosis and treatment of eosinophilic meningitis caused by A. cantonensis, with particular emphasis on the update of prevalence and treatment of the disease in China.
Insights
Angiostrongylus cantonensis, a parasitic nematode, causes eosinophilic meningitis in humans, often through consuming raw intermediate hosts. This case highlights diagnosis and treatment updates, particularly in China.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Angiostrongylus cantonensis is the leading cause of human eosinophilic meningitis globally.
- Infection typically results from ingesting raw or undercooked intermediate hosts (e.g., snails, fish) or contaminated food containing infective larvae.
Observation:
- A case study of a male Chinese patient presenting with eosinophilic meningitis is detailed.
- The patient reported a history of consuming raw fish and snails, common risk factors for infection.
Findings:
- The study outlines the clinical presentation, diagnostic procedures, and therapeutic interventions for this specific case.
- It emphasizes the importance of considering A. cantonensis in differential diagnoses for eosinophilic meningitis, especially in endemic regions.
Implications:
- Provides an updated overview for physicians on the characteristics, diagnosis, and treatment of Angiostrongylus cantonensis infection.
- Highlights the current prevalence and treatment strategies for eosinophilic meningitis in China, aiding clinical management and public health awareness.
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