Spinal sensory radiculopathy due to Angiostrongylus cantonensis infection.
The most common cause of eosinophilic meningitis is the rat lung worm Angiostrongylus cantonensis, a parasite which is endemic in the South East Asian and Pacific regions. While the typical clinical presentation is that of meningitis associated with an eosinophilic pleocytosis, a 45 year old man presented with a radiculomyelopathy, associated with an eosinophilic pleocytosis and cerebrospinal fluid antibodies to A. cantonensis but without signs or symptoms of meningitis. A worm was demonstrated on both computed tomographic myelography and magnetic resonance imaging scan of the spinal cord.
Wood
G
G
Princess Alexandra Hospital, Brisbane, Australia.
Delamont
S
S
Whitby
M
M
Boyle
R
R
D000801:Angiostrongylus; D000818:Animals; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009349:Nematode Infections / Q000150:complications*; D010292:Paresthesia / Q000209:etiology; D011128:Polyradiculopathy / Q000469:parasitology*; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000469:parasitology; D014057:Tomography, X-Ray Computed