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[A case of eosinophilic meningoencephalitis caused by Angiostrongylus cantonensis with unique brain MRI findings].
Rinsho Shinkeigaku. 1998 Jan; 38(1):22-6.RS

Abstract

A 17-year-old Japanese girl was admitted to our hospital because of meningeal irritation, hyperesthesia of extremities, and disturbance of consciousness after having traveled to Okinawa in February, 1996. Examination on admission revealed pleocytosis of CSF with many eosinophils (65%) and increased eosinophils (25%) in the peripheral blood. The history and clinical symptoms were suggestive of a parasitic infection. We diagnosed the patient as having eosinophilic meningoencephalitis caused by Angiostrongylus cantonensis, which was confirmed by immunological tests of double diffusion, counterimmuno-electrophoresis, and ELISA. Magnetic resonance imaging (MRI) of the brain demonstrated multiple small high intensity areas on Gd-DTPA-enhanced T1-weighted images. MRI findings suggested tissue reactions to dead or dying worms, and local vasodilatation associated with minimal thrombus formation.

Authors+Show Affiliations

Fourth Department of Internal Medicine, Toho University School of Medicine.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

9597905

Citation

Ogawa, K, et al. "[A Case of Eosinophilic Meningoencephalitis Caused By Angiostrongylus Cantonensis With Unique Brain MRI Findings]." Rinsho Shinkeigaku = Clinical Neurology, vol. 38, no. 1, 1998, pp. 22-6.
Ogawa K, Kishi M, Ogawa T, et al. [A case of eosinophilic meningoencephalitis caused by Angiostrongylus cantonensis with unique brain MRI findings]. Rinsho Shinkeigaku. 1998;38(1):22-6.
Ogawa, K., Kishi, M., Ogawa, T., Wakata, N., & Kinoshita, M. (1998). [A case of eosinophilic meningoencephalitis caused by Angiostrongylus cantonensis with unique brain MRI findings]. Rinsho Shinkeigaku = Clinical Neurology, 38(1), 22-6.
Ogawa K, et al. [A Case of Eosinophilic Meningoencephalitis Caused By Angiostrongylus Cantonensis With Unique Brain MRI Findings]. Rinsho Shinkeigaku. 1998;38(1):22-6. PubMed PMID: 9597905.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of eosinophilic meningoencephalitis caused by Angiostrongylus cantonensis with unique brain MRI findings]. AU - Ogawa,K, AU - Kishi,M, AU - Ogawa,T, AU - Wakata,N, AU - Kinoshita,M, PY - 1998/5/23/pubmed PY - 1998/5/23/medline PY - 1998/5/23/entrez SP - 22 EP - 6 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 38 IS - 1 N2 - A 17-year-old Japanese girl was admitted to our hospital because of meningeal irritation, hyperesthesia of extremities, and disturbance of consciousness after having traveled to Okinawa in February, 1996. Examination on admission revealed pleocytosis of CSF with many eosinophils (65%) and increased eosinophils (25%) in the peripheral blood. The history and clinical symptoms were suggestive of a parasitic infection. We diagnosed the patient as having eosinophilic meningoencephalitis caused by Angiostrongylus cantonensis, which was confirmed by immunological tests of double diffusion, counterimmuno-electrophoresis, and ELISA. Magnetic resonance imaging (MRI) of the brain demonstrated multiple small high intensity areas on Gd-DTPA-enhanced T1-weighted images. MRI findings suggested tissue reactions to dead or dying worms, and local vasodilatation associated with minimal thrombus formation. SN - 0009-918X UR - https://www.unboundmedicine.com/medline/citation/9597905/[A_case_of_eosinophilic_meningoencephalitis_caused_by_Angiostrongylus_cantonensis_with_unique_brain_MRI_findings]_ L2 - https://medlineplus.gov/mriscans.html DB - PRIME DP - Unbound Medicine ER -