title: Neuroimmunological findings of Angiostrongylus cantonensis meningitis in Ecuadorian patients.
abstract: Meningitis caused by Angiostrongylus cantonensis has recently been reported in patients resulting from the first outbreaks in subtropical regions of Ecuador.
  
  
  METHODS
  Eight young adult patients from the two outbreaks were studied. IgA, IgM, IgG and albumin in cerebrospinal fluid and serum were quantified and plotted in cerebrospinal fluid/serum quotient diagrams (Reibergrams). The anamnesis on the patients included asking about any consumption of raw snails, symptoms and harm caused.
  
  
  RESULTS
  Mean eosinophilia of 7.5% and 26% in serum and cerebrospinal fluid respectively was observed, as well as a moderate increase in total proteins. The most frequent pattern of intrathecal synthesis was observed in three classes of immunoglobulins. Intrathecal synthesis of IgM was observed in all cases two weeks after the first symptoms appeared.
  
  
  CONCLUSIONS
  The intrathecal synthesis patterns of eosinophilic meningitis due to Angiostrongylus cantonensis, facilitated by cerebrospinal fluid analysis, were similar to those of previous cases from abroad.
authors.affiliation: Central Spinal Fluid Laboratory, "Dr. Miguel Enríquez" School of Medical Sciences, Havana University of Medical Sciences, Cuba. adorta@infomed.sld.cu
authors.forename: Alberto J
authors.initials: AJ
authors.lastname: Dorta-Contreras
authors.forename: Barbara
authors.initials: B
authors.lastname: Padilla-Docal
authors.forename: Juan M
authors.initials: JM
authors.lastname: Moreira
authors.forename: Luiggi Martini
authors.initials: LM
authors.lastname: Robles
authors.forename: Jenny Muzzio
authors.initials: JM
authors.lastname: Aroca
authors.forename: Fernando
authors.initials: F
authors.lastname: Alarcón
authors.forename: Raisa
authors.initials: R
authors.lastname: Bu-Coifiu-Fanego
mesh_terms: D000293:Adolescent; D000328:Adult; D000418:Albumins / Q000032:analysis; D017185:Angiostrongylus cantonensis / Q000276:immunology*; D000818:Animals; D004196:Disease Outbreaks; D004484:Ecuador / Q000453:epidemiology; D004802:Eosinophilia / Q000453:epidemiology / Q000276:immunology* / Q000469:parasitology; D006801:Humans; D007136:Immunoglobulins / Q000032:analysis; D008581:Meningitis / Q000453:epidemiology / Q000276:immunology* / Q000469:parasitology; D017206:Strongylida Infections / Q000453:epidemiology / Q000276:immunology* / Q000469:parasitology; D055815:Young Adult
chemical_list: D000418:Albumins; D007136:Immunoglobulins