Eosinophilic meningitis outbreak related to religious practice.

Autor: Monteiro MD; Neurology Service, Santa Casa de Misericórdia, de Porto Alegre, Brazil; Federal University of Health Science of Porto Alegre, Brazil., de Carvalho Neto EG; Neurology Service, Santa Casa de Misericórdia, de Porto Alegre, Brazil; Federal University of Health Science of Porto Alegre, Brazil., Dos Santos IP; Neurology Service, Santa Casa de Misericórdia, de Porto Alegre, Brazil; Federal University of Health Science of Porto Alegre, Brazil., Biernat MS; Infectology Service, Nossa Senhora da Conceição Hospital, Brazil., Machado RM; Infectology Service, Nossa Senhora da Conceição Hospital, Brazil., Hauser VB; Neurology Service, Nossa Senhora da Conceição Hospital, Brazil., Rieder CRM; Neurology Service, Santa Casa de Misericórdia, de Porto Alegre, Brazil; Federal University of Health Science of Porto Alegre, Brazil., Spengler CN; Infectology Service, Nossa Senhora da Conceição Hospital, Brazil., Fey VP; Parasite Biology Laboratory, School of Sciences, Pontificial Catholic University of Rio Grande do Sul, Brazil., Morassutti A; Parasite Biology Laboratory, School of Sciences, Pontificial Catholic University of Rio Grande do Sul, Brazil., Torres VF; Neurology Service, Nossa Senhora da Conceição Hospital, Brazil., Castilhos RM; Neurology Service, Nossa Senhora da Conceição Hospital, Brazil. Electronic address: raphael.castilhos@gmail.com., Graeff-Teixeira C; Infectious Diseases Unit, Health Sciences Center, Federal University of Espírito Santo, Brazil.
Jazyk: angličtina
Zdroj: Parasitology international [Parasitol Int] 2020 Oct; Vol. 78, pp. 102158. Date of Electronic Publication: 2020 Jun 14.
DOI: 10.1016/j.parint.2020.102158
Abstrakt: Three patients with eosinophilic meningitis (EoM) were investigated in two hospitals in Porto Alegre, Southern Brazil. These patients had a common exposure after the ingestion of raw mollusks in a religious ritual. Two of them had an uncommon presentation with intense lower distal extremities pain and small fiber neuropathy as defined by an electroneuromyography (ENMG) study. All three patients were positive for Angiostrongylus cantonensis serology and recovered after antihelminthic and anti-inflammatory treatment. Increased awareness of A. cantonensis infection is important to avoid new infections and to improved recognition and handling of cerebral angiostrongyliasis.
(Copyright © 2020 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: