A blind passenger : a rare case of documented seroconversion in an; Angiostrongylus cantonensis; induced eosinophilic meningitis in a traveler visiting friends and relatives
JournalItem (Reviews, Editorials, Rezensionen, Urteilsanmerkungen etc. in einer wissenschaftlichen Zeitschrift)
 
ID 4501313
Author(s) Brummaier, Tobias; Bertschy, Sonja; Arn, Kornelius; Treumann, Thomas; Ruf, Marie-Therese; Nickel, Beatrice; Paris, Daniel H.; Neumayr, Andreas; Blum, Johannes
Author(s) at UniBasel Brummaier, Tobias
Ruf, Marie-Therese
Nickel, Beatrice
Paris, Daniel Henry
Neumayr, Andreas
Blum, Johannes A.
Year 2019
Title A blind passenger : a rare case of documented seroconversion in an; Angiostrongylus cantonensis; induced eosinophilic meningitis in a traveler visiting friends and relatives
Journal Tropical diseases, travel medicine and vaccines
Volume 5
Pages 6
Abstract Eosinophilic meningitis (EOM) is a rare condition that is caused by various communicable and non-communicable factors. The rat-lungworm; Angiostrongylus cantonensis; , which is associated with consumption of raw or undercooked paratenic or intermediate hosts, is the most common cause of parasitic eosinophilic meningitis worldwide. While the majority of; A. cantonensis; cases are reported from endemic regions, cases in travelers pose a challenge to clinicians in non-endemic countries. Here we report a rare case of eosinophilic meningitis caused by; A. cantonensis; in a Swiss traveler who was diagnosed after returning from Thailand.; A 33-year old woman with a travel history to rural north-eastern Thailand presented to an emergency department in Switzerland with severe headache and vomiting. Eosinophilic meningitis was confirmed as the cause of the symptoms; however, serologic investigations failed to confirm an; A. cantonensis; infection on the first evaluation. Nevertheless, empirical treatment with an anthelminthic and steroid regimen led to a rapid alleviation of symptoms. Repeated serology confirmed seroconversion 2 weeks after treatment initiation.; Parasitic etiology must be considered in returning travelers who present with symptoms compatible with a central nervous system infection. A thorough medical history, including types of food consumed, is paramount and can often suggest differential diagnosis. Neuroangiostrongyliasis is rare and might be missed if serology does not cover possible seroconversion.
Publisher BioMed Central
ISSN/ISBN 2055-0936
edoc-URL https://edoc.unibas.ch/70365/
Full Text on edoc Available
Digital Object Identifier DOI 10.1186/s40794-019-0084-x
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/31016026
ISI-Number MEDLINE:31016026
Document type (ISI) Case Reports
 
   

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