Infectious Disease Compendium

Angiostrongylus cantonensis

Microbiology

Helminth (not to be confused with Hellmouth, where Sunnydale High is) includes A. cantonensis and A. costaricensis.

Epidemiologic Risks

In SE Asia associated with eating under cooked crabs, shellfish and snails. And raw, yes raw, frogs (PubMed).

There have been a cases in both France, Tennessee and Texas

Syndromes

A. cantonensis: eosinophilic meningitis. A big problem in Vietnam.

A. costaricensis: eosinophilic gastroenteritis.

Treatment

A. cantonensis: mebendazole 100 mg po bid x 5 d or, perhaps best, albendazole 20 mg/kg dexamethasone 3 mg daily for 7 days (PubMed).

A. costaricensis: mebendazole 200-400 mg po tid x 10 d or thiabendazole 75 mg/kg divided tid x 3 d.

Notes