Eosinophilic meningitis outbreak related to religious practice.

Authors :: Monteiro MD
de Carvalho Neto EG
Dos Santos IP
Biernat MS
Machado RM
Hauser VB
Rieder CRM
Spengler CN
Fey VP
Morassutti A
Torres VF
Castilhos RM
Graeff-Teixeira C
Source :: Parasitology international [Parasitol Int] 2020 Oct; Vol. 78, pp. 102158. Date of Electronic Publication: 2020 Jun 14.
Publication Year :: 2020
Abstract: Three patients with eosinophilic meningitis (EoM) were investigated in two hospitals in Porto Alegre, Southern Brazil. These patients had a common exposure after the ingestion of raw mollusks in a religious ritual. Two of them had an uncommon presentation with intense lower distal extremities pain and small fiber neuropathy as defined by an electroneuromyography (ENMG) study. All three patients were positive for Angiostrongylus cantonensis serology and recovered after antihelminthic and anti-inflammatory treatment. Increased awareness of A. cantonensis infection is important to avoid new infections and to improved recognition and handling of cerebral angiostrongyliasis.<br /> (Copyright © 2020 Elsevier B.V. All rights reserved.)