Abdominal angiostrongyliasis: a case with severe evolution

Santos, José Wellington Alves dos; Zambenedetti, Ricardo Morgental; Mann, Keli Cristina; Rocha, Marta Pires da; Morais, Edson Nunes de; Graeff-Teixeira, Carlos

doi:10.1590/s0036-46652005000600010

Cited by 4 publications

(3 citation statements)

References 13 publications

(14 reference statements)

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“…A review of several recent case reports of human A cantonensis showed that few of these cases reported a positive finding of A cantonensis directly. [4,10–13]…”

Section: Discussionmentioning

confidence: 99%

“…A review of several recent case reports of human A cantonensis showed that few of these cases reported a positive finding of A cantonensis directly. [4,[10][11][12][13] Angiostrongyliasis is usually considered based on a history of mollusk consumption, clinical characteristics, eosinophilic pleocytosis in the CSF, and the identification of a positive antibody. [14] Infection with A cantonensis in humans is only reported sporadically in the literature.…”

Section: Discussionmentioning

confidence: 99%

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High-throughput metagenomics analysis in early and precise diagnosis of eosinophilic meningoencephalitis complicated with respiratory failure: A case report

et al. 2023

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Rationale: Human infection with Angiostrongylus cantonensis is uncommon and has only been sporadically reported in the literature. Patients infected with A cantonensis usually have a delayed diagnosis and sometimes a poor prognosis. Patient concerns: A 70-year-old woman presented to the respiratory department with complaints of headache, chest pain, myalgia, fatigue, and anorexia for 7 days. Diagnoses: Complete blood count showed eosinophilia. The serum was tested showing a positive finding of A cantonensis antibody. Cerebrospinal fluid was tested using high-throughput metagenomics analysis and 16 reads for A cantonensis were mapped. The patient was diagnosed with A cantonensis infection. Interventions: The patient received a 7-day course of albendazole and 4-day course of prednisone. Outcomes: When discharged from the hospital, the patient still suffered from fatigue and poor memory. Aminotransferase levels were high due to albendazole’s liver toxicity. In a post-discharge follow-up about 1 month later she had recovered completely both physically and mentally, and peripheral eosinophil count and aminotransferase levels were both normal. Lessons: Because the direct identification of parasites is difficult, high-throughput metagenomics analysis may provide a reliable alternative tool for the diagnoses of infection with A cantonensis . When albendazole is prescribed, caution must be taken with respect to its liver toxicity.

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“…A review of several recent case reports of human A cantonensis showed that few of these cases reported a positive finding of A cantonensis directly. [4,10–13]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

High-throughput metagenomics analysis in early and precise diagnosis of eosinophilic meningoencephalitis complicated with respiratory failure: A case report

et al. 2023

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“…Also, severe gastrointestinal bleeding may result from the intestinal lesions [ 26 ]. Moreover, a suspected case of A. costaricensis infection was reported with severe pulmonary embolism, even though the parasites could not be detected [ 111 ]. Angiostrongylus costaricensis worms are not expected to occur in pulmonary arteries, which are the usual location of A. cantonensis in rodents, but not in humans.…”

Section: Introductionmentioning

confidence: 99%

Abdominal angiostrongyliasis in the Americas: fifty years since the discovery of a new metastrongylid species, Angiostrongylus costaricensis

et al. 2021

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Angiostrongylus costaricensis is a zoonotic parasitic nematode described for the first time in 1971 by Pedro Morera and Rodolfo Céspedes in Costa Rica. This parasite causes an infection known as abdominal angiostrongyliasis, affecting mainly school-aged children and young adults. Infection with A. costaricensis has been associated with a myriad of rodent and mollusk species in the Americas and the Caribbean, as its natural hosts and reservoirs. In this commemorative review, we highlight the extensive research collected through a 50-year journey, which includes ecological, pathological, and molecular studies on A. costaricensis and its implicated disease. We also identify major knowledge gaps in its evolutionary history, the ecological role of imported and invasive mollusk species, and immune response. We propose that the advent of -omics analyses will allow us to gather novel information regarding A. costaricensis biology and infection dynamics, as well as to promote the design of much-needed sensitive and specific diagnostic tools.

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Diagnostic criteria and case definitions for abdominal angiostrongyliasis: a systematic review from the Brazilian experience

Walger,

Rodriguez,

Marcolongo-Pereira

et al. 2024

Parasitol Res

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Abdominal angiostrongyliasis: a case with severe evolution

Cited by 4 publications

References 13 publications

High-throughput metagenomics analysis in early and precise diagnosis of eosinophilic meningoencephalitis complicated with respiratory failure: A case report

High-throughput metagenomics analysis in early and precise diagnosis of eosinophilic meningoencephalitis complicated with respiratory failure: A case report

Abdominal angiostrongyliasis in the Americas: fifty years since the discovery of a new metastrongylid species, Angiostrongylus costaricensis

Diagnostic criteria and case definitions for abdominal angiostrongyliasis: a systematic review from the Brazilian experience

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