Tetraventricular Hydrocephalus Following Eosinophilic Meningitis due to Angiostrongylus cantonensis in a 14-Month-Old Boy From Mayotte: A Case Report

Chiara Cattaneo; Marion Hoarau; Sophie Valois; Abdourahim Chamouine; Yacouba Dembele; Luis Collet; Raphaëlle Sarton

doi:10.1093/ofid/ofab031

Tetraventricular Hydrocephalus Following Eosinophilic Meningitis due to Angiostrongylus cantonensis in a 14-Month-Old Boy From Mayotte: A Case Report

Open Forum Infect Dis. 2021 Jan 22;8(3):ofab031. doi: 10.1093/ofid/ofab031. eCollection 2021 Mar.

Authors

Chiara Cattaneo^{1

2}, Marion Hoarau³, Sophie Valois³, Abdourahim Chamouine¹, Yacouba Dembele⁴, Luis Collet⁵, Raphaëlle Sarton³

Affiliations

¹ Department of Paediatrics, Centre Hospitalier de Mayotte, Mamoudzou, France.
² Division of Infectious Diseases, Department of Medicine II, University of Freiburg, Freiburg, Germany.
³ Department of Paediatrics, CHU La Réunion Groupe Hospitalier du Sud, Saint Pierre, France.
⁴ Department of Radiology, Centre Hospitalier de Mayotte, Mamoudzou, France.
⁵ Medical Biology Laboratory, Centre Hospitalier de Mayotte, Mamoudzou, France.

Abstract

Angiostrongylus cantonensis is endemic in Mayotte, and cases of meningitis due to angiostrongyliasis are regularly diagnosed in young children. In a 14-month-old boy with slow-onset psychomotor regression, brain magnetic resonance imaging revealed communicating hydrocephalus. Reverse transcription polymerase chain reaction for A. cantonensis on cerebrospinal fluid was positive. The evolution was favorable with repeated lumbar punctures and a 2-week treatment with albendazole and high-dose corticosteroids.

Keywords: Angiostrongylus cantonensis; angiostrongyliasis; child; eosinophilic meningitis; hydrocephalus.

Publication types

Case Reports