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Case Report: Angiostrongylus cantonensis Infection Presenting as Small Fiber Neuropathy.

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Angiostrongylus cantonensis, a parasite causing eosinophilic meningitis, can also lead to small fiber neuropathy (SFN). This case highlights the parasite

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Corneal Confocal Microscopy: A Novel Non-invasive Technique to Quantify Small Fibre Pathology in Peripheral Neuropathies

Corneal Confocal Microscopy: A Novel Non-invasive Technique to Quantify Small Fibre Pathology in Peripheral Neuropathies

Published on: January 3, 2011

Area of Science:

Neurology
Infectious Diseases
Parasitology

Background:

Angiostrongylus cantonensis is a significant cause of eosinophilic meningitis globally.
Human infections often manifest with neurological symptoms like headache and neck stiffness.

Observation:

A patient with PCR-confirmed Angiostrongylus cantonensis infection presented with small fiber neuropathy (SFN) without headache.
SFN diagnosis was supported by skin biopsy findings.

Findings:

Standard neuropathy treatments were ineffective for the patient.
Intravenous lidocaine provided significant symptom relief for the chronic neuropathy.

Implications:

Angiostrongylus cantonensis should be considered in the differential diagnosis of small fiber neuropathy.
The parasite's potential to cause long-term neurological damage requires clinical recognition.