Eosinophilic Meningitis due to < b > < i > Angiostrongylus cantonensis < /i > < /b > in Children

We describe the case of a 12-year-old girl from the central area of Vietnam with eosinophilic meningitis due toA. cantonensis. The patient lived in a rural area, where farming is widespread, and presented with fever and headache. Laboratory results showed peripheral eosinophilia, a cerebrospinal fluid white blood cell count of 730/mm3 with 65% eosinophils. Cerebrospinal fluid ELISA was positive forA. cantonensis, and blood ELISA was positive forA. cantonensis. The presentation was consistent with a diagnosis ofA. cantonensis eosinophilic meningitis. The patient recovered fully after administration of albendazole (200 mg/day for 2 weeks), as well as intravenous dexamethasone (0.6 mg/kg/day every 8 h) and mannitol (1.5 g/kg/day every 8 h) for the first 3 days, followed by 5 days of oral prednisolone (2 mg/kg/day).Case Rep Neurol 2021;13:184 –189
Source: Case Reports in Neurology - Category: Neurology Source Type: research