title: Clinical manifestations of Eosinophilic meningitis due to infection with Angiostrongylus cantonensis in children.
abstract: Eosinophilic meningitis, caused by the nematode Angiostrongylus cantonensis, is prevalent in northeastern Thailand, most commonly in adults. Data regarding clinical manifestations of this condition in children is limited and may be different those in adults. A chart review was done on 19 eosinophilic meningitis patients aged less than 15 years in Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand. Clinical manifestations and outcomes were reported using descriptive statistics. All patients had presented with severe headache. Most patients were males, had fever, nausea or vomiting, stiffness of the neck, and a history of snail ingestion. Six patients had papilledema or cranial nerve palsies. It was shown that the clinical manifestations of eosinophilic meningitis due to A. cantonensis in children are different from those in adult patients. Fever, nausea, vomiting, hepatomegaly, neck stiffness, and cranial nerve palsies were all more common in children than in adults.
authors: Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. ; Researches and Diagnostic Center for Emerging Infectious Diseases, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Kittisak
authors: K
authors: Sawanyawisuth
authors: Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Jarin
authors: J
authors: Chindaprasirt
authors: Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Vichai
authors: V
authors: Senthong
authors: Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Panita
authors: P
authors: Limpawattana
authors: Department of Paediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Narong
authors: N
authors: Auvichayapat
authors: Department of Paediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Sompon
authors: S
authors: Tassniyom
authors: Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Verajit
authors: V
authors: Chotmongkol
authors: Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. ; Researches and Diagnostic Center for Emerging Infectious Diseases, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Wanchai
authors: W
authors: Maleewong
authors: Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand. ; Researches and Diagnostic Center for Emerging Infectious Diseases, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
authors: Pewpan M
authors: PM
authors: Intapan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017185:Angiostrongylus cantonensis / Q000302:isolation & purification*; D000818:Animals; D002648:Child; D002675:Child, Preschool; D004802:Eosinophilia / Q000150:complications / Q000209:etiology / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008581:Meningitis / Q000150:complications / Q000209:etiology / Q000473:pathology*; D008875:Middle Aged; D063868:Patient Outcome Assessment; D017206:Strongylida Infections / Q000469:parasitology / Q000473:pathology*; D013785:Thailand; D055815:Young Adult
keywords: Angiostrongylus cantonensis; children; clinical manifestation; eosinophilic meningitis