title: Baylisascaris ProcyonisNeural Larva Migrans in an Infant in New York City.
abstract: Neural larva migrans (NLM) with eosinophilic meningoencephalitis secondary to raccoon roundworm (Baylisascaris procyonis) infection has been reported in rural and suburban areas of North America and Europe with extant raccoon populations. Most cases have occurred in infants less than two years of age exposed to areas of raccoon fecal contamination. Here, we present a case ofBaylisascaris-induced NLM from the densely populated borough of Brooklyn in New York City and alert urban pediatricians to consider this cause of clinical neurologic disease even in areas not typically thought to be associated with endemic risk factors. Infected raccoons also occur in urban settings, and urban children may be exposed to environmental areas or materials contaminated with their feces and the parasite's eggs.
authors.affiliation: Division of Pediatric Infectious Diseases, Maimonides Infants and Children's Hospital of Brooklyn, Brooklyn, NY 11219, USA ; Department of Pediatrics, Maimonides Infants and Children's Hospital of Brooklyn, Brooklyn, NY 11219, USA.
authors.forename: Jason E
authors.initials: JE
authors.lastname: Perlman
authors.affiliation: Department of Comparative Pathobiology, Purdue University School of Veterinary Medicine, West Lafayette, IN 47907, USA.
authors.forename: Kevin R
authors.initials: KR
authors.lastname: Kazacos
authors.affiliation: Department of Medicine, College of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
authors.forename: Gavin H
authors.initials: GH
authors.lastname: Imperato
authors.affiliation: Department of Ophthalmology, Maimonides Medical Center, Brooklyn, NY 11219, USA.
authors.forename: Rajen U
authors.initials: RU
authors.lastname: Desai
authors.affiliation: Department of Pediatrics, Maimonides Infants and Children's Hospital of Brooklyn, Brooklyn, NY 11219, USA.
authors.forename: Susan K
authors.initials: SK
authors.lastname: Schulman
authors.affiliation: Department of Radiology, Maimonides Medical Center, Brooklyn, NY 11219, USA.
authors.forename: Jon
authors.initials: J
authors.lastname: Edwards
authors.affiliation: Division of Pediatric Infectious Diseases, Maimonides Infants and Children's Hospital of Brooklyn, Brooklyn, NY 11219, USA ; Department of Pediatrics, Maimonides Infants and Children's Hospital of Brooklyn, Brooklyn, NY 11219, USA.
authors.forename: Lucy R
authors.initials: LR
authors.lastname: Pontrelli
authors.affiliation: Department of Biochemistry and Immunology, Institute of Biological Sciences, Federal University of Minas Gerais, Belo Horizonte, MG, CEP 30161-970, Brazil.
authors.forename: Fabiana S
authors.initials: FS
authors.lastname: Machado
authors.affiliation: Departments of Pathology and Medicine, Albert Einstein College of Medicine, Diagnostic Parasitology Laboratory and Parasitology Clinic, Jacobi Medical Center, Bronx, NY 10461, USA.
authors.forename: Herbert B
authors.initials: HB
authors.lastname: Tanowitz
authors.affiliation: Department of Ophthalmology, Maimonides Medical Center, Brooklyn, NY 11219, USA.
authors.forename: Norman A
authors.initials: NA
authors.lastname: Saffra
keywords: Baylisascaris procyonis; Eosinophilic meningoencephalitis; Neural larva migrans; Raccoon roundworm