Cluster of eosinophilic meningitis attributable to Angiostrongylus cantonensis infection in French policemen troop returning from the Pacific Islands

Malvy, Denis; Ezzedine, Khaled; Receveur, Marie‐Catherine; Pistone, Thierry; Crevon, L.; Lemardeley, P; Josse, R.

doi:10.1016/j.tmaid.2008.06.003

Cited by 34 publications

(27 citation statements)

References 17 publications

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“…1,2 Individual cases and outbreaks of infection with this nematode have been reported for years in endemic areas of Southeast Asia and the Pacific Rim (e.g., China, Taiwan, Thailand, and the Pacific Islands) and travelers returning from endemic areas. [3][4][5][6] In the United States, angiostrongyliasis is endemic in Hawaii; one human case was reported in New Orleans, LA. 7 A. cantonensis is becoming more widespread in the world, in part because of ship-borne transport of rats and introduction of non-native snails/slugs.…”

Section: Introductionmentioning

confidence: 99%

Eosinophilic Meningitis Attributable to Angiostrongylus cantonensis Infection in Hawaii: Clinical Characteristics and Potential Exposures

Hochberg

Blackburn²,

Park³

et al. 2011

The American Society of Tropical Medicine and Hygiene

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The most common infectious cause of eosinophilic meningitis is Angiostrongylus cantonensis, which is transmitted largely by consumption of snails/slugs. We previously identified cases of angiostrongyliasis that occurred in Hawaii from 2001 to 2005; the highest incidence was on the island of Hawaii. We now report symptoms, laboratory parameters, and exposures. Eighteen patients were evaluated; 94% had headache, and 65% had sensory symptoms (paresthesia, hyperesthesia, and/or numbness). These symptoms lasted a median of 17 and 55 days, respectively. Three persons recalled finding a slug in their food/drink. Case-patients on the island of Hawaii were more likely than case-patients on other islands to consume raw homegrown produce in a typical week (89% versus 0%, P < 0.001) and to see snails/slugs on produce (56% versus 0%, P = 0.03). Residents and travelers should be aware of the potential risks of eating uncooked produce in Hawaii, especially if it is from the island of Hawaii and locally grown.

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Section: Introductionmentioning

confidence: 99%

Eosinophilic Meningitis Attributable to Angiostrongylus cantonensis Infection in Hawaii: Clinical Characteristics and Potential Exposures

Hochberg

Blackburn²,

Park³

et al. 2011

The American Society of Tropical Medicine and Hygiene

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“…1,2 The route of infection is through ingestion of raw freshwater snails, shrimp, or monitor lizards. A. cantonensis is a neurotropic parasite, which presents as three main clinical manifestations: eosinophilic meningitis, eosinophilic encephalitis, and ocular angiostrongyliasis.…”

Section: Introductionmentioning

confidence: 99%

Clinical Factors Predictive of Encephalitis Caused by Angiostrongylus cantonensis

Sawanyawisuth

Takahashi²,

Hoshuyama³

et al. 2009

The American Journal of Tropical Medicine and Hygiene

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Abstract. Angiostrongylus cantonensis is mainly caused eosinophilic meningitis in humans, whereas a minority of patients develop encephalitic angiostrongyliasis (EA). EA is an extremely fatal condition, and the clinical factors predictive of EA have never been reported. A comparison study was conducted in a hospital situated in an endemic area of Thailand. We enrolled 14 and 80 angiostrongyliasis patients who developed encephalitis and meningitis, respectively. Logistic regression analysis was used to assess the clinical variables predictive of encephalitis. Age (adjusted odds ratio [OR], 1.22; 95% confidence interval [CI], 1.05-1.42), duration of headache (adjusted OR, 1.26; 95% CI, 1.03-1.55), and fever > 38.0°C (adjusted OR, 37.05; 95% CI, 1.59-862.35) were identified as statistically significant factors for EA prediction. Elderly patients with angiostrongyliasis experiencing fever and prolonged headaches were at the highest risk of developing EA.

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“…To the Editor: Angiostrongylus cantonensis infection is endemic in regions such as Southeast Asia, China, the Pacific Basin, and the Caribbean, but international travel has spread the disease elsewhere, including Europe ( 1 – 10 ). Dissemination of the parasite to many regions has also occurred because of the ship-borne international migration of rats and the diversity of potential intermediate hosts.…”

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confidence: 99%

Meningitis and Radiculomyelitis Caused byAngiostrongylus cantonensis

Maretić¹,

Perović²,

Vince³

et al. 2009

Emerg. Infect. Dis.

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Cluster of eosinophilic meningitis attributable to Angiostrongylus cantonensis infection in French policemen troop returning from the Pacific Islands

Cited by 34 publications

References 17 publications

Eosinophilic Meningitis Attributable to Angiostrongylus cantonensis Infection in Hawaii: Clinical Characteristics and Potential Exposures

Eosinophilic Meningitis Attributable to Angiostrongylus cantonensis Infection in Hawaii: Clinical Characteristics and Potential Exposures

Clinical Factors Predictive of Encephalitis Caused by Angiostrongylus cantonensis

Meningitis and Radiculomyelitis Caused byAngiostrongylus cantonensis

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