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Angiostrongylus meningitis associated with intraparenchymal cerebral haemorrhage

Nikola Lilic1, Ben Addison

  • 1Department of Otolaryngology Head and Neck Surgery, Counties Manukau District Health Board, Otahuhu, Auckland, New Zealand. nikola.z.lilic@gmail.com.

The New Zealand Medical Journal
|December 10, 2013
PubMed

Insights

Angiostrongylus cantonensis (A. cantonensis) causes eosinophilic meningitis. A rare case of cerebral hemorrhage linked to this parasitic meningitis is presented, a complication previously undocumented in medical literature.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Parasitology

Background:

  • Angiostrongylus cantonensis (A. cantonensis) is a nematode parasite endemic to Southeast Asia, Australia, and the Pacific.
  • It is the leading cause of eosinophilic meningitis in humans.
  • Parasitic meningitis poses significant neurological risks.

Observation:

  • A case of a patient presenting with A. cantonensis meningitis was observed.
  • During the course of the illness, an intraparenchymal cerebral haemorrhage was detected.
  • This specific complication was identified during clinical assessment and diagnostic imaging.

Findings:

  • The study reports the first documented instance of intraparenchymal cerebral haemorrhage occurring secondary to A. cantonensis meningitis.
  • Diagnostic findings confirmed the co-occurrence of parasitic meningitis and intracranial bleeding.
  • The cerebral haemorrhage was directly associated with the parasitic infection.

Implications:

  • This finding expands the spectrum of known neurological complications associated with A. cantonensis infections.
  • It highlights the potential for severe vascular events in patients with eosinophilic meningitis.
  • Further research is warranted to understand the pathophysiology and management of this rare complication.

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