edoc

A blind passenger : a rare case of documented seroconversion in an; Angiostrongylus cantonensis; induced eosinophilic meningitis in a traveler visiting friends and relatives

Brummaier, Tobias and Bertschy, Sonja and Arn, Kornelius and Treumann, Thomas and Ruf, Marie-Therese and Nickel, Beatrice and Paris, Daniel H. and Neumayr, Andreas and Blum, Johannes. (2019) A blind passenger : a rare case of documented seroconversion in an; Angiostrongylus cantonensis; induced eosinophilic meningitis in a traveler visiting friends and relatives. Tropical diseases, travel medicine and vaccines, 5. p. 6.

[img] PDF - Published Version
Available under License CC BY (Attribution).

1104Kb

Official URL: https://edoc.unibas.ch/70365/

Downloads: Statistics Overview

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.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
UniBasel Contributors:Brummaier, Tobias and Ruf, Marie-Therese and Nickel, Beatrice and Paris, Daniel Henry and Neumayr, Andreas and Blum, Johannes A.
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Publisher:BioMed Central
ISSN:2055-0936
Note:Publication type according to Uni Basel Research Database: Journal item
Language:English
Identification Number:
Last Modified:07 May 2019 07:21
Deposited On:07 May 2019 07:21

Repository Staff Only: item control page