ABSTRACT
Three patients with eosinophilic meningitis (EoM) were investigated in two hospitals in Porto Alegre, Southern Brazil. These patients had a common exposure after the ingestion of raw mollusks in a religious ritual. Two of them had an uncommon presentation with intense lower distal extremities pain and small fiber neuropathy as defined by an electroneuromyography (ENMG) study. All three patients were positive for Angiostrongylus cantonensis serology and recovered after antihelminthic and anti-inflammatory treatment. Increased awareness of A. cantonensis infection is important to avoid new infections and to improved recognition and handling of cerebral angiostrongyliasis.
Subject(s)
Angiostrongylus cantonensis/isolation & purification , Disease Outbreaks , Eosinophilia/epidemiology , Meningitis/epidemiology , Strongylida Infections/epidemiology , Adult , Animals , Brazil/epidemiology , Eosinophilia/parasitology , Female , Humans , Male , Meningitis/parasitology , Strongylida Infections/parasitologyABSTRACT
We describe a case of probable sporadic Creutzfeldt-Jakob disease in the setting of well-controlled HIV and discuss whether exist, in fact, HIV-related factors that may predispose to the development of prion disease. To the best of our knowledge, this is the third report of this association.
