| Citation: |
HU Mengting, ZHANG Dong, JIA Peiyao, LU Minya, ZHOU Menglan, GUO Jiayu, SU Huiting, GAO Yi, XI Jingyuan, ZHU Huadong, YANG Qiwen. Eating Raw Snails Infected with Angiostrongylus Cantonensis Causes Eosinophilic Meningitis: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1463-1467. DOI: 10.12290/xhyxzz.2024-0066
|
We report a case of a male patient who developed persistent fever and central nervous system symptoms after eating raw snails for 10 days. The patient was diagnosed with Angiostrongyliasis depended on the clinical presentation, epidemiological history, and etiological results. The patient recovered after receiving albendazole anthelmintic and dexamethasone anti-inflammatory therapy. This article incorporates literature review to sort out the diagnosis and treatment of this patient, in order to provide feasible reference for clinicians.
| [1] |
Lo Re V 3rd, Gluckman S J. Eosinophilic meningitis[J]. Am J Med, 2003, 114(3): 217-223. DOI: 10.1016/S0002-9343(02)01495-X
|
| [2] |
Khamsai S, Chotmongkol V, Tiamkao S, et al. Eosinophilic meningitis epidemiological data from a national database in Thailand's Department of Disease Control: a pragmatic, retrospective analytical study[J]. Orphanet J Rare Dis, 2022, 17(1): 393. DOI: 10.1186/s13023-022-02532-1
|
| [3] |
Sawanyawisuth K, Takahashi K, Hoshuyama T, et al. Clinical factors predictive of encephalitis caused by Angiostrongylus cantonensis[J]. Am J Trop Med Hyg, 2009, 81(4): 698-701. DOI: 10.4269/ajtmh.2009.09-0309
|
| [4] |
Qvarnstrom Y, Xayavong M, Da Silva A C A, et al. Real-time polymerase chain reaction detection of Angiostrongylus cantonensis DNA in cerebrospinal fluid from patients with eosinophilic meningitis[J]. Am J Trop Med Hyg, 2016, 94(1): 176-181. DOI: 10.4269/ajtmh.15-0146
|
| [5] |
Niggemann B, Bauer A, Jendroska K, et al. Latex allergy as a cause of eosinophilia in cerebrospinal fluid in a child with a ventricular shunt[J]. J Allergy Clin Immunol, 1997, 100(6 Pt 1): 849-850.
|
| [6] |
De Almeida S M, De Souza C V, Pletsch L, et al. Diagnostic importance of eosinophilic meningitis in HIV-positive and HIV-negative patients[J]. J Neurovirol, 2019, 25(3): 331-341. DOI: 10.1007/s13365-019-00722-5
|
| [7] |
Saito K, Yamasaki K, Yokogami K, et al. Eosinophilic meningitis triggered by implanted Gliadel wafers: case report[J]. J Neurosurg, 2017, 126(6): 1783-1787.
|
| [8] |
Scott T F. A new cause of cerebrospinal fluid eosinophilia: neurosarcoidosis[J]. Am J Med, 1988, 84(5): 973-974. DOI: 10.1016/0002-9343(88)90082-4
|
| [9] |
Carballo I, González-Quintela A, Sopeña B, et al. Immunoglobulin G4-related disease: what an allergist should know[J]. J Investig Allergol Clin Immunol, 2021, 31(3): 212-227. DOI: 10.18176/jiaci.0633
|
| [10] |
Johnston D I, Dixon M C, Elm J L, et al. Review of cases of angiostrongyliasis in Hawaii, 2007—2017[J]. Am J Trop Med Hyg, 2019, 101(3): 608-616. DOI: 10.4269/ajtmh.19-0280
|
| [11] |
Martins Y C, Tanowitz H B, Kazacos K R. Central nervous system manifestations of Angiostrongylus cantonensis infection[J]. Acta Trop, 2015, 141(Part A): 46-53.
|
| [12] |
Wang Q P, Wu Z D, Wei J, et al. Human Angiostrongylus cantonensis: an update[J]. Eur J Clin Microbiol Infect Dis, 2012, 31(4): 389-395. DOI: 10.1007/s10096-011-1328-5
|
| [13] |
靳二虎, 马大庆, 梁宇婷, 等. 广州管圆线虫病中枢神经系统受侵的磁共振影像研究[J]. 中华放射学杂志, 2001, 35(2): 121-124.
Jin E H, Ma D Q, Liang Y T, et al. MRI study of angiostrongyliasis cantonensis in central nervous system[J]. Chin J Radiol, 2001, 35(2): 121-124.
|
| [14] |
谭丽梅, 苏嬿莉. 广州管圆线虫病1例误诊分析[J]. 中国实用儿科杂志, 2000, 15(9): 569. DOI: 10.3969/j.issn.1005-2224.2000.09.030
Tan L M, Su Y L. Misdiagnosis analysis of one case of Guangzhou roundworm disease[J]. Chin J Pract Pediatr, 2000, 15(9): 569. DOI: 10.3969/j.issn.1005-2224.2000.09.030
|
| [15] |
Graeff-Teixeira C, Sawanyawisuth K, Lv S, et al. Neuroangiostrongyliasis: updated provisional guidelines for diagnosis and case definitions[J]. Pathogens, 2023, 12(4): 624. DOI: 10.3390/pathogens12040624
|
| [16] |
Centers for Disease Control and Prevention. Parasites-angiostrongyliasis (also known as angiostrongylus infection): disease[EB/OL ]. [2022-06-13]. https://www.cdc.gov/parasites/angiostrongylus/disease.html.
|
| [17] |
McBride A, Chau T T H, Hong N T T, et al. Angiostrongylus cantonensis is an important cause of eosinophilic meningitis in southern Vietnam[J]. Clin Infect Dis, 2017, 64(12): 1784-1787. DOI: 10.1093/cid/cix118
|
| [18] |
Chiu C Y, Miller S A. Clinical metagenomics[J]. Nat Rev Genet, 2019, 20(6): 341-355. DOI: 10.1038/s41576-019-0113-7
|
| [19] |
陆旻雅, 郭佳钰, 张栋, 等. 宏基因组高通量测序技术在中枢神经系统感染性疾病中的临床价值分析[J]. 协和医学杂志, 2023, 14(5): 1005-1010. DOI: 10.12290/xhyxzz.2023-0293
Lu M Y, Guo J Y, Zhang D, et al. Analysis of the clinical value of metagenomic next-generation sequencing in central nervous system infection[J]. Med J PUMCH, 2023, 14(5): 1005-1010. DOI: 10.12290/xhyxzz.2023-0293
|
| [20] |
Wilson M R, Sample H A, Zorn K C, et al. Clinical metagenomic sequencing for diagnosis of meningitis and encephalitis[J]. N Engl J Med, 2019, 380(24): 2327-2340. DOI: 10.1056/NEJMoa1803396
|
| [21] |
Fan S Y, Ren H T, Wei Y P, et al. Next-generation sequencing of the cerebrospinal fluid in the diagnosis of neurobrucellosis[J]. Int J Infect Dis, 2018, 67: 20-24. DOI: 10.1016/j.ijid.2017.11.028
|
| [22] |
Xing X W, Zhang J T, Ma Y B, et al. Metagenomic next-generation sequencing for diagnosis of infectious encephalitis and meningitis: a large, prospective case series of 213 patients[J]. Front Cell Infect Microbiol, 2020, 10: 88. DOI: 10.3389/fcimb.2020.00088
|
| [23] |
顾嘉程, 吴洪, 陈星兆, 等. 宏基因组二代测序在诊断颅脑创伤相关中枢神经系统感染中的价值[J]. 中华神经外科杂志, 2020, 36(10): 993-997. DOI: 10.3760/cma.j.cn112050-20200401-00194
Gu J C, Wu H, Chen X Z, et al. Diagnostic efficacy analysis of metagenomic next-generation sequencing for traumatic brain injury related central nervous system infection[J]. Chin J Neurosurg, 2020, 36(10): 993-997. DOI: 10.3760/cma.j.cn112050-20200401-00194
|
| [24] |
赵伟丽, 林福虹, 乔小东, 等. 应用二代测序诊断中枢神经系统感染性疾病的回顾性分析[J]. 中华神经科杂志, 2020, 53(12): 1016-1020. DOI: 10.3760/cma.j.cn113694-20200524-00382
Zhao W L, Lin F H, Qiao X D, et al. Retrospective analysis of metagenomic next-generation sequencing in the diagnosis of central nervous system infectious disease[J]. Chin J Neurol, 2020, 53(12): 1016-1020. DOI: 10.3760/cma.j.cn113694-20200524-00382
|
| [25] |
中华医学会检验医学分会. 宏基因组测序病原微生物检测生物信息学分析规范化管理专家共识[J]. 中华检验医学杂志, 2021, 44(9): 799-807.
Chinese Society of Laboratory Medicine. Expert consensus on the standardized management of bioinformatics analysis for the detection of pathogenic microorganisms in mNGS[J]. Chin J Lab Med, 2021, 44(9): 799-807.
|
| [26] |
中华医学会细菌感染与耐药防治分会. 呼吸系统感染中宏基因组测序技术临床应用与结果解读专家共识[J]. 中华临床感染病杂志, 2022, 15(2): 90-102.
Chinese Society of Bacterial Infection and Drug Resistance Prevention, Chinese Medical Association. Expert consensus on clinical application and interpretation of metagenomic next-generation sequencing in respiratory infections[J]. Chin J Clin Infect Dis, 2022, 15(2): 90-102.
|
| [27] |
Li Y, Tang J P, Chen D R, et al. The use of albendazole and diammonium glycyrrhizinate in the treatment of eosinophilic meningitis in mice infected with Angiostrongylus cantonensis[J]. J Helminthol, 2013, 87(1): 1-11. DOI: 10.1017/S0022149X11000745
|
| [28] |
朱静, 谢雯. 广州管圆线虫病的诊断与治疗[J]. 中国临床医生杂志, 2006, 34(10): 26-27.
Zhu J, Xie W. Diagnosis and treatment of Guangzhou roundworm disease[J]. Chin J Clin, 2006, 34(10): 26-27.
|
| [29] |
王婧, 郑晓燕, 阴赪宏, 等. 阿苯达唑致广州管圆线虫病患者肝损害的临床分析[J]. 中国病原生物学杂志, 2008, 3(3): 209-211.
Wang X, Zheng X Y, Yin C H, et al. Clinical analysis on acute hepatic injury induced by albendazole in patients with angiostrongyliasis cantonensis[J]. J Pathog Biol, 2008, 3(3): 209-211.
|
| [1] | YAO Ru, YANG Xu, QU Yang, LIAN Jie, ZHANG Jiahui, HUANG Xin, CHEN Chang, REN Xinyu, PAN Bo, ZHOU Yidong, SUN Qiang. PTEN Mutation Related Unilateral Multicentric, Synchronous and Metachronous Bilateral Breast Cancer: Three Case Reports[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(4): 916-920. DOI: 10.12290/xhyxzz.2023-0550 |
| [2] | LU Minya, GUO Jiayu, ZHANG Dong, SU Huiting, GAO Yi, ZHAO Ying, YANG Qiweng, XU Yingchun. Analysis of the Clinical Value of Metagenomic Next-generation Sequencing in Central Nervous System Infection[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1005-1010. DOI: 10.12290/xhyxzz.2023-0293 |
| [3] | DIAO Zhenli, LI Jinming. Metagenomic Next-generation Sequencing: Current Status, Challenges and Prospects of Clinical Application[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 905-910. DOI: 10.12290/xhyxzz.2023-0089 |
| [4] | LIU Yuan, ZHAO Lin. Update and Interpretation of 2022 National Comprehensive Cancer Network Clinical Practice Guidelines for Gastric Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 999-1004. DOI: 10.12290/xhyxzz.2022-0271 |
| [5] | Ying GE, Si-yuan FAN, Jian-hua CHEN, Ao SHEN, Hong-tao DOU, Meng XIAO, Ying-chun XU, Yan-ping GONG, Hai-tao REN, Hong-long WU, Hong-zhi GUAN. Analysis of Metagenomic Next-generation Sequencing of Cerebrospinal Fluid from Patients with Cryptococcal Meningitis[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 605-611. DOI: 10.3969/j.issn.1674-9081.2019.06.010 |
| [6] | Teng ZHU, Hong-zhong JIN. mRNA Expression of Methylase and Methyl-CpG Binding Protein in Peripheral Blood Mononuclear Cells from Patients with Generalized Pustular Psoriasis[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(4): 358-363. DOI: 10.3969/j.issn.1674-9081.2019.04.009 |
| [7] | Jing-jing, HUANG, Meng XIAO, Ying-chun XU. Application of Next Generation Sequencing in Clinical Microbiology and Infectious Diseases[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(5): 448-452. DOI: 10.3969/j.issn.1674-9081.2018.05.014 |
| [8] | Xiao-yun ZHANG, Jian-yu HAO. PTEN and Digestive Organ Fibrosis[J]. Medical Journal of Peking Union Medical College Hospital, 2017, 8(4-5): 300-304. DOI: 10.3969/j.issn.1674-9081.2017.05.020 |
| [10] | Xiao-hua SHI, Zhi-yong LIANG, Huan-wen WU, Xin-yu REN, Tong-hua LIU. Effect of RNA Interference Plasmid on the Expression of Oncogene AKT2 in Pancreatic Cancer Cell Line Panc-1[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(1): 102-108. DOI: 10.3969/j.issn.1674-9081.2012.01.021 |
Supported by: Beijing Renhe Information Technology Co., Ltd. 
Submit
Review
Office
Email Alert
RSS
DownLoad: