AJTMH Transactions of the Royal Society of Tropical Medicine and Hygiene
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Am. J. Trop. Med. Hyg., 70(4), 2004, pp. 425-428
Copyright © 2004 by The American Society of Tropical Medicine and Hygiene

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FATAL AUTOCHTHONOUS EOSINOPHILIC MENINGITIS IN A JAMAICAN CHILD CAUSED BY ANGIOSTRONGYLUS CANTONENSIS

J. F. LINDO, C. T. ESCOFFERY, B. REID, G. CODRINGTON, C. CUNNINGHAM-MYRIE, AND M. L. EBERHARD
Department of Microbiology and Department of Pathology, The University of the West Indies, Kingston, Jamaica; Bustamante Hospital for Children, Kingston, Jamaica; National Public Health Laboratory, Ministry of Health, Kingston, Jamaica; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

A fatal case of infection with Angiostrongylus cantonensis is reported in a 14-month-old Jamaican boy. Although infection with Angiostrongylus was not considered initially, sections of multiple worms were observed in the brain and lungs at autopsy and confirmed the infection. This is the first reported fatality due to this infection in the Western Hemisphere, and follows shortly after an outbreak of eosinophilic meningitis among a group of travelers to Jamaica. The source of infection in this case could not be determined.

Received December 11, 2002. Accepted for publication July 1, 2003.

Acknowledgments: We are grateful to Dr. Wanpen Chaicumpa (Department of Tropical Medicine, Mahidol University, Bangkok, Thailand) for conducting the serologic testing, and to Dr. Stuart Johnson (Department of Infectious Diseases, Northwestern University Medical School, Chicago, IL) for helpful discussions. We also thank Dr. Barbara Herwaldt and Adriana Lopez (Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, GA) who facilitated initial communications on this case.

Authors’ addresses: J. F. Lindo, Department of Microbiology, The University of the West Indies, Kingston 7, Jamaica, Telephone: 876-977-6521, Fax: 876-977-1265, E-mail: john.lindo{at}uwimona.edu.jm. C. T. Escoffery, Department of Pathology, The University of the West Indies, Kingston 7, Jamaica. B. Reid, Bustamante Hospital for Children, Kingston 5, Jamaica. G. Codrington, National Public Health Laboratory, Ministry of Health, Kingston, Jamaica. C. Cunningham-Myrie, Ministry of Health, Kingston, Jamaica. M. L. Eberhard, Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30341.






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