Introduction:Angiostrongylus cantonensis is a natural parasite found in lung arteries of rats, which in humans may cause eosinophilic meningitis. Objective: To report the first case of eosinophilic meningitis caused by Angiostrongylus cantonensis in the city of São Paulo, Brazil. Case report: A male...
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ftdoajarticles:oai:doaj.org/article:abbe40b57ba649f0a8731053ee6dd248 2024-09-09T19:28:07+00:00 Maria Cristina Carvalho do Espírito-Santo Pedro Luiz Silva Pinto Dan Jesse Gonçalves da Mota Ronaldo César Borges Gryschek 2013-04-01T00:00:00Z https://doaj.org/article/abbe40b57ba649f0a8731053ee6dd248 EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652013000200129 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 0036-4665 1678-9946 https://doaj.org/article/abbe40b57ba649f0a8731053ee6dd248 Revista do Instituto de Medicina Tropical de São Paulo, Vol 55, Iss 2, Pp 129-132 (2013) Angiostrongylus cantonensis Eosinophilic meningitis CSF eosinophilia Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2013 ftdoajarticles 2024-08-05T17:49:30Z Introduction:Angiostrongylus cantonensis is a natural parasite found in lung arteries of rats, which in humans may cause eosinophilic meningitis. Objective: To report the first case of eosinophilic meningitis caused by Angiostrongylus cantonensis in the city of São Paulo, Brazil. Case report: A male patient, 11 years old, living in the southern area of São Paulo, was admitted to the Pediatric Emergency Department with ongoing headaches for three days, but no fever or any other complaint. The presence of snails and rodents was reported in the peridomicile. The child was awake, lucid, oriented; muscular strength preserved, isochoric, photo reagent pupils and terminal nuchal rigidity - Glasgow Coma Scale (GCS) = 15. The laboratory tests showed a mild leukocytosis with 1736 eosinophils/mm3 and the CSF analysis disclosed 160 leukocytes/mm3 with 36% of eosinophils. The bacterial culture was negative. Computed Cerebral Tomography showed no alterations. The RT-PCR assay for detecting Angiostrongylus cantonensis larvae and DNA was negative. ELISA antibodies for IgG anti-A. cantonensis was negative in serum and undetermined in CSF and samples collected five days after the onset of symptoms. Seroconversion was observed in the sample collected 135 days later. Conclusion: the epidemiological and clinical data, the CSF alterations with eosinophilia and the seroconversion strongly suggest Angiostrongylus cantonensis eosinophilic meningitis. Introdução:Angiostrongylus cantonensis é um parasito natural das artérias de pulmões de ratos, que pode causar, em humanos, meningite eosinofílica. Objetivo: Relatar o primeiro caso de meningite eosinofílica causado por A. cantonensis na cidade de São Paulo, Brasil. Relato de caso: Paciente do sexo masculino, 11 anos, residente na zona sul de São Paulo, foi admitido no serviço de emergência pediátrica com história de cefaléia há três dias, sem febre ou outras queixas. Relato de presença de moluscos e roedores no peridomicílio. Ao exame físico, criança desperta acianótica, anictérica, ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Angiostrongylus cantonensis Eosinophilic meningitis CSF eosinophilia Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Angiostrongylus cantonensis Eosinophilic meningitis CSF eosinophilia Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Maria Cristina Carvalho do Espírito-Santo Pedro Luiz Silva Pinto Dan Jesse Gonçalves da Mota Ronaldo César Borges Gryschek |
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Angiostrongylus cantonensis Eosinophilic meningitis CSF eosinophilia Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Introduction:Angiostrongylus cantonensis is a natural parasite found in lung arteries of rats, which in humans may cause eosinophilic meningitis. Objective: To report the first case of eosinophilic meningitis caused by Angiostrongylus cantonensis in the city of São Paulo, Brazil. Case report: A male patient, 11 years old, living in the southern area of São Paulo, was admitted to the Pediatric Emergency Department with ongoing headaches for three days, but no fever or any other complaint. The presence of snails and rodents was reported in the peridomicile. The child was awake, lucid, oriented; muscular strength preserved, isochoric, photo reagent pupils and terminal nuchal rigidity - Glasgow Coma Scale (GCS) = 15. The laboratory tests showed a mild leukocytosis with 1736 eosinophils/mm3 and the CSF analysis disclosed 160 leukocytes/mm3 with 36% of eosinophils. The bacterial culture was negative. Computed Cerebral Tomography showed no alterations. The RT-PCR assay for detecting Angiostrongylus cantonensis larvae and DNA was negative. ELISA antibodies for IgG anti-A. cantonensis was negative in serum and undetermined in CSF and samples collected five days after the onset of symptoms. Seroconversion was observed in the sample collected 135 days later. Conclusion: the epidemiological and clinical data, the CSF alterations with eosinophilia and the seroconversion strongly suggest Angiostrongylus cantonensis eosinophilic meningitis. Introdução:Angiostrongylus cantonensis é um parasito natural das artérias de pulmões de ratos, que pode causar, em humanos, meningite eosinofílica. Objetivo: Relatar o primeiro caso de meningite eosinofílica causado por A. cantonensis na cidade de São Paulo, Brasil. Relato de caso: Paciente do sexo masculino, 11 anos, residente na zona sul de São Paulo, foi admitido no serviço de emergência pediátrica com história de cefaléia há três dias, sem febre ou outras queixas. Relato de presença de moluscos e roedores no peridomicílio. Ao exame físico, criança desperta acianótica, anictérica, ... |
format |
Article in Journal/Newspaper |
author |
Maria Cristina Carvalho do Espírito-Santo Pedro Luiz Silva Pinto Dan Jesse Gonçalves da Mota Ronaldo César Borges Gryschek |
author_facet |
Maria Cristina Carvalho do Espírito-Santo Pedro Luiz Silva Pinto Dan Jesse Gonçalves da Mota Ronaldo César Borges Gryschek |
author_sort |
Maria Cristina Carvalho do Espírito-Santo |
publisher |
Universidade de São Paulo (USP) |
publishDate |
2013 |
url |
https://doaj.org/article/abbe40b57ba649f0a8731053ee6dd248 |
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geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 55, Iss 2, Pp 129-132 (2013) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652013000200129 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 0036-4665 1678-9946 https://doaj.org/article/abbe40b57ba649f0a8731053ee6dd248 |
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1809897400219729920 |