Neuroimmunological findings of Angiostrongylus cantonensis meningitis in ecuadorian patients

Arquivos de Neuro-Psiquiatria

Alberto J. Dorta-contreras²  Barbara Padilla-docal²  Juan M. Moreira¹  Luiggi Martini Robles¹  Jenny Muzzio Aroca¹  Fernando Alarcón¹  Raisa Bu-coifiu- Fanego² 

[1] ,Havana University of Medical Sciences Dr. Miguel Enríquez School of Medical Sciences Central Spinal Fluid LaboratoryHavana,Cuba

关键词: Angiostrongylus cantonensis;    Ecuador;    eosinophilia;    intrathecal synthesis;    meningitis;    Reibergram;    Angiostrongylus cantonensis;    Ecuador;    eosinofilia;    síntesis intratecal;    meningitis;    Reibergrama;   

DOI  :  10.1590/S0004-282X2011000400011

来源: SciELO

【 摘 要 】

Meningitis caused by Angiostrongylus cantonensis has recently been reported in patients resulting from the first outbreaks in subtropical regions of Ecuador. METHOD: 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. CONCLUSION: 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.

【 授权许可】

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