Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical Outcome
Angiostrongylus cantonensis has caused sporadic cases of eosinophilic meningoencephalitis in Sydney, Australia. We describe a 36-year-old man who presented subacutely with fevers, reduced level of consciousness, confusion, ophthalmoplegia, and urinary incontinence. He was diagnosed with severe eosin...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2019/4037196 |
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| author | Fabian Chiong Andrew R. Lloyd Jeffrey J. Post |
| author_facet | Fabian Chiong Andrew R. Lloyd Jeffrey J. Post |
| author_sort | Fabian Chiong |
| collection | DOAJ |
| description | Angiostrongylus cantonensis has caused sporadic cases of eosinophilic meningoencephalitis in Sydney, Australia. We describe a 36-year-old man who presented subacutely with fevers, reduced level of consciousness, confusion, ophthalmoplegia, and urinary incontinence. He was diagnosed with severe eosinophilic meningoencephalitis secondary to suspected Angiostrongylus cantonensis based on clinical, serological, and radiological findings. The patient was treated with albendazole and prednisolone with full neurological recovery. Management of neuroangiostrongyliasis with anthelminthic is controversial as it is thought to cause worsened outcomes through inciting an inflammatory response as a result of parasite killing. We managed to successfully treat our patient using albendazole and prednisolone and achieved a good outcome. |
| format | Article |
| id | doaj-art-35ac55a2128a446bbb27059bcb98e223 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-35ac55a2128a446bbb27059bcb98e2232025-02-03T07:25:51ZengWileyCase Reports in Infectious Diseases2090-66252090-66332019-01-01201910.1155/2019/40371964037196Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical OutcomeFabian Chiong0Andrew R. Lloyd1Jeffrey J. Post2Department of Infectious Diseases, Prince of Wales Hospital, Sydney, NSW, AustraliaDepartment of Infectious Diseases, Prince of Wales Hospital, Sydney, NSW, AustraliaDepartment of Infectious Diseases, Prince of Wales Hospital, Sydney, NSW, AustraliaAngiostrongylus cantonensis has caused sporadic cases of eosinophilic meningoencephalitis in Sydney, Australia. We describe a 36-year-old man who presented subacutely with fevers, reduced level of consciousness, confusion, ophthalmoplegia, and urinary incontinence. He was diagnosed with severe eosinophilic meningoencephalitis secondary to suspected Angiostrongylus cantonensis based on clinical, serological, and radiological findings. The patient was treated with albendazole and prednisolone with full neurological recovery. Management of neuroangiostrongyliasis with anthelminthic is controversial as it is thought to cause worsened outcomes through inciting an inflammatory response as a result of parasite killing. We managed to successfully treat our patient using albendazole and prednisolone and achieved a good outcome.http://dx.doi.org/10.1155/2019/4037196 |
| spellingShingle | Fabian Chiong Andrew R. Lloyd Jeffrey J. Post Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical Outcome Case Reports in Infectious Diseases |
| title | Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical Outcome |
| title_full | Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical Outcome |
| title_fullStr | Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical Outcome |
| title_full_unstemmed | Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical Outcome |
| title_short | Severe Eosinophilic Meningoencephalitis Secondary to Suspected Neuroangiostrongyliasis with a Good Clinical Outcome |
| title_sort | severe eosinophilic meningoencephalitis secondary to suspected neuroangiostrongyliasis with a good clinical outcome |
| url | http://dx.doi.org/10.1155/2019/4037196 |
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