Guidelines for the diagnosis and treatment of neuroangiostrongyliasis: updated recommendations

Autor: Gerald S Murphy, Jourdan K. McMillan, B C Meyer, Kenton J. Kramer, Vernon Ansdell, Olivia A. Smith, Marian E. Melish, Elizabeth U. Blalock, Louis Lteif, William L. Gosnell, Johnnie Yates
Rok vydání: 2020
Předmět:
Zdroj: Parasitology
ISSN: 1469-8161
0031-1820
DOI: 10.1017/s0031182020001262
Popis: A subcommittee of the Hawaii Governor's Joint Task Force on Rat Lungworm Disease developed preliminary guidelines for the diagnosis and treatment of neuroangiostrongyliasis (NAS) in 2018 (Guidelines, 2018). This paper reviews the main points of those guidelines and provides updates in areas where our understanding of the disease has increased. The diagnosis of NAS is described, including confirmation of infection by real-time polymerase chain reaction (RTi-PCR) to detect parasite DNA in the central nervous system (CNS). The treatment literature is reviewed with recommendations for the use of corticosteroids and the anthelminthic drug albendazole. Long-term sequelae of NAS are discussed and recommendations for future research are proposed.
Databáze: OpenAIRE