Unusual Larva in the CSF and Unique MRI Findings in a Case of Eosinophilic Meningitis
| Autor: | Shivanand Pai, Santosh Rai, Shrikala Baliga, Deepak Madi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
Pathology medicine.medical_specialty Eosinophilic Meningitis biology business.industry lcsh:R895-920 Angiostrongylus cantonensis Case Report biology.organism_classification Albendazole Cerebrospinal fluid eosinophilic meningitis parasitic diseases medicine Vomiting Eosinophilia Radiology Nuclear Medicine and imaging Medical history monitor lizard medicine.symptom business medicine.drug Monitor lizard |
| Zdroj: | Journal of Clinical Imaging Science Journal of Clinical Imaging Science, Vol 4, Iss 1, Pp 76-76 (2014) |
| ISSN: | 2156-5597 2156-7514 |
| Popis: | Eosinophilic meningitis may be caused by non-infectious and infectious agents.Angiostrongylus cantonensisis the commonest causative agent of eosinophilic meningitis. Rats are the primary hosts of this parasite. Humans get infected by ingestion of raw or inadequately cooked hosts (snails or monitor lizard) or food contaminated with the infective third-stage larvae. A 16-year-old boy was admitted to our hospital with history of fever, headache, and altered sensorium. Magnetic resonance imaging of the brain showed unique findings. Cerebrospinal fluid (CSF) examination showed eosinophilia and the CSF wet mount identified a larva. Patient history revealed ingestion of monitor lizard 2 weeks prior to onset of symptoms. Hence, a diagnosis of eosinophilic meningitis caused byA. cantonensiswas made. He was treated with oral albendazole and steroids, resulting in gradual improvement.A. cantonensisas a cause of eosinophilic meningitis is a possibility in patients who present with headache and vomiting after eating raw meat (monitor lizard). To the best of our knowledge, this is a very rare case being reported from India where the larva was identified during the microscopic examination of the CSF. |
| Databáze: | OpenAIRE |
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