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

  • Sawanyawisuth, Kittisak (Department of Medicine, Faculty of Medicine, Khon Kaen University) ;
  • Chindaprasirt, Jarin (Department of Medicine, Faculty of Medicine, Khon Kaen University) ;
  • Senthong, Vichai (Department of Medicine, Faculty of Medicine, Khon Kaen University) ;
  • Limpawattana, Panita (Department of Medicine, Faculty of Medicine, Khon Kaen University) ;
  • Auvichayapat, Narong (Department of Department of Paediatrics, Faculty of Medicine, Khon Kaen University) ;
  • Tassniyom, Sompon (Department of Department of Paediatrics, Faculty of Medicine, Khon Kaen University) ;
  • Chotmongkol, Verajit (Department of Medicine, Faculty of Medicine, Khon Kaen University) ;
  • Maleewong, Wanchai (Department of Department of Parasitology, Faculty of Medicine, Khon Kaen University) ;
  • Intapan, Pewpan M. (Department of Department of Parasitology, Faculty of Medicine, Khon Kaen University)
  • 투고 : 2013.05.30
  • 심사 : 2013.10.11
  • 발행 : 2013.12.31

초록

Eosinophilic meningitis, caused by the nematode Angiostrongylus cantonensis, is prevalent in northeastern Thailand, most commonly in adults. Data regarding clinical manifestations of this condition in children is limited and may be different those in adults. A chart review was done on 19 eosinophilic meningitis patients aged less than 15 years in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand. Clinical manifestations and outcomes were reported using descriptive statistics. All patients had presented with severe headache. Most patients were males, had fever, nausea or vomiting, stiffness of the neck, and a history of snail ingestion. Six patients had papilledema or cranial nerve palsies. It was shown that the clinical manifestations of eosinophilic meningitis due to A. cantonensis in children are different from those in adult patients. Fever, nausea, vomiting, hepatomegaly, neck stiffness, and cranial nerve palsies were all more common in children than in adults.

키워드

참고문헌

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  10. Eosinophilic Meningitis due to Angiostrongylus cantonensis in Children vol.13, pp.1, 2013, https://doi.org/10.1159/000512809
  11. Guidelines for the diagnosis and treatment of neuroangiostrongyliasis: updated recommendations vol.148, pp.2, 2021, https://doi.org/10.1017/s0031182020001262
  12. Gross, microscopic, radiologic, echocardiographic and haematological findings in rats experimentally infected with Angiostrongylus cantonensis vol.148, pp.2, 2021, https://doi.org/10.1017/s0031182020001420
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