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Case Report

Clinical Manifestations of Eosinophilic Meningitis Due to Infection with Angiostrongylus cantonensis in Children

The Korean Journal of Parasitology 2013;51(6):735-738.
Published online: December 31, 2013

1Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

2Department of Paediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

3Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

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Corresponding author (kittisak@kku.ac.th)
• Received: May 30, 2013   • Revised: July 28, 2013   • Accepted: October 11, 2013

© 2013, Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Clinical Manifestations of Eosinophilic Meningitis Due to Infection with Angiostrongylus cantonensis in Children
Korean J Parasitol. 2013;51(6):735-738.   Published online December 31, 2013
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Clinical Manifestations of Eosinophilic Meningitis Due to Infection with Angiostrongylus cantonensis in Children
Korean J Parasitol. 2013;51(6):735-738.   Published online December 31, 2013
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Clinical Manifestations of Eosinophilic Meningitis Due to Infection with Angiostrongylus cantonensis in Children
Clinical Manifestations of Eosinophilic Meningitis Due to Infection with Angiostrongylus cantonensis in Children
Variables Children (N = 19) Adults (N = 80) Age, years (range) 12 (4-14) 33.5 (15-70) Male gender, N (%) 15 (78.9) 60 (75.0) Summer season (%) 4 (21.1) 12 (15.0) Snail ingestion, N (%) 13 (68.4) 80 (100) Incubation period, days (range) 22 (1-30) 20 (1-90) Headache, N (%) 19 (100) 80 (100) Nausea or vomiting, N (%) 12 (63.2) 31 (38.8) Fever, N (%) 15 (78.9) 8 (10) Hepatomegaly, N (%) 2 (10.5) 0 (0) 6th cranial nerve palsy, N (%) 5 (26.3) 3 (3.8) 7th cranial nerve palsy, N (%) 1 (5.3) 2 (2.5) Abnormal cerebellar signs, N (%) 2 (10.5) 0 (0) Hyperesthesia, N (%) 0 9 (11.3) Neck stiffness, N (%) 13 (68.4) 38 (47.5) Papilledema, N (%) 6 (31.6) 2 (2.5) Variables Children (N = 19) Adults (N = 80) Blood test  Total WBC, cell/mm3 (range) 13,200 (6,400-22,500) 10,250 (4,700-23,500)  % eosinophils (range) 20 (5-48) 15 (1-45)  Thrombocytosis, N (%) 3 (15.8) 0 (0) Cerebrospinal fluid examination  Opening pressure, mmH2O (range) 400 (300-600) 280 (50-600)  Total WBC, cell/mm3 (range) 637 (87-2,610) 765 (12-5,100)  % eosinophils (range) 58 (31-95) 49 (10-84)  Protein, mg/dl (range) 68 (34-240) 94 (17-470)  Glucose, mg/dl (range) 45 (26-114) 47 (20-134)  CSF/plasma glucose ratio (range) 45.2 (22.8-112.9) 45 (15-113) Variables Children (N = 19) Adults (N = 55) Median duration of headache, days (range) 4 (1-21) 13 (1-56) No. of patients with repeated lumbar puncture, N (%) 10 (52.6) 22 (40) Median numbers of repeated lumbar puncture, times (range) 2.5 (1-6) NA Variables Thailand (N = 19) Taiwan [10] (N = 82) Male, N (%) 15 (78.9) 38 (46.3) Season Summer (21.1) Mostly summer, rainy Exposure to intermediate host, N (%) 13 (68.4) 71 (87) Incubation period, days 22 (median) 13.2 (mean) Fever, N (%) 15 (78.9) 75 (91.5) 6th cranial nerve palsy, N (%) 5 (26.3) 16 (19.5) 7th cranial nerve palsy, N (%) 1 (5.3) 9 (11) Papilledema, N (%) 6 (31.6) 21 (25.6) Worm recovery in CSF (%) 0 34 (41.5) Meningoencephalitis (%) 0 25 (30.5)
Table 1. Clinical manifestations of eosinophilic meningitis in children and adults
Table 2. Laboratory results of eosinophilic meningitis in children and adults
Table 3. Treatment outcomes in children and adult patients with eosinophilic meningitis

Adult patients received supportive treatment, while treatments for children were mentioned in the text. NA, not available.

Table 4. Clinical comparison between children with eosinophilic meningitis in Thailand and Taiwan

Note. CSF, cerebrospinal fluid.