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Human infections with Angiostrongylus cantonensis.
Pac Health Dialog. 2001 Mar; 8(1):176-82.PH

Abstract

Angiostrongylus cantonensis is a parasite that causes eosinophilic meningitis and has been reported to be present on most Pacific islands. Rats are the principal host and several species of land snails the intermediate host. Important paratenic hosts are fresh water shrimp and fish. Modes of transmission include ingestion by man of raw fish, snails and fresh leafy vegetables contaminated by snail slime trails containing larvae. The parasitic worms are neurotropic in man, and the diagnosis should be considered in any adult or child, who presents, in endemic areas or areas with suitable intermediate hosts, with severe unrelenting headache, paresthesias, or a cranial nerve palsy. Eosinophils in the cerebral spinal fluid suggest the diagnosis. Simple analgesia is sufficient for mild cases. Treatment of those with severe symptoms remains controversial. Glucocorticoids, lumbar puncture to reduce intercranial pressure and antihelminthic agents have been used.

Authors+Show Affiliations

Family and Community Medicine, Maine Dartmouth Family Practice Residency, 4 Sheridan Drive, Fairfield, Maine 04937, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12017820

Citation

Alto, W. "Human Infections With Angiostrongylus Cantonensis." Pacific Health Dialog, vol. 8, no. 1, 2001, pp. 176-82.
Alto W. Human infections with Angiostrongylus cantonensis. Pac Health Dialog. 2001;8(1):176-82.
Alto, W. (2001). Human infections with Angiostrongylus cantonensis. Pacific Health Dialog, 8(1), 176-82.
Alto W. Human Infections With Angiostrongylus Cantonensis. Pac Health Dialog. 2001;8(1):176-82. PubMed PMID: 12017820.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Human infections with Angiostrongylus cantonensis. A1 - Alto,W, PY - 2002/5/23/pubmed PY - 2002/6/13/medline PY - 2002/5/23/entrez SP - 176 EP - 82 JF - Pacific health dialog JO - Pac Health Dialog VL - 8 IS - 1 N2 - Angiostrongylus cantonensis is a parasite that causes eosinophilic meningitis and has been reported to be present on most Pacific islands. Rats are the principal host and several species of land snails the intermediate host. Important paratenic hosts are fresh water shrimp and fish. Modes of transmission include ingestion by man of raw fish, snails and fresh leafy vegetables contaminated by snail slime trails containing larvae. The parasitic worms are neurotropic in man, and the diagnosis should be considered in any adult or child, who presents, in endemic areas or areas with suitable intermediate hosts, with severe unrelenting headache, paresthesias, or a cranial nerve palsy. Eosinophils in the cerebral spinal fluid suggest the diagnosis. Simple analgesia is sufficient for mild cases. Treatment of those with severe symptoms remains controversial. Glucocorticoids, lumbar puncture to reduce intercranial pressure and antihelminthic agents have been used. SN - 1015-7867 UR - https://www.unboundmedicine.com/medline/citation/12017820/Human_infections_with_Angiostrongylus_cantonensis_ L2 - https://medlineplus.gov/meningitis.html DB - PRIME DP - Unbound Medicine ER -