1921
Volume 103, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645
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Abstract

Abstract.

Meningoencephalitis is not a rare disease in small children. However, eosinophilic meningitis due to is unusual in a baby. We describe the case of a 9-month-old baby from North Vietnam with eosinophilic meningoencephalitis. The baby lived in a rural area, where farming is widespread, and presented with fever and seizures. Laboratory results showed peripheral eosinophilia (16.1%), cerebrospinal fluid (CSF) white blood cell count 220/mm (26% eosinophils), CSF antibody test positive for , CSF ELISA positive for , and blood ELISA positive for . A mobile worm was identified in the CSF. The presentation was consistent with a diagnosis of eosinophilic meningitis. The baby recovered fully after administering albendazole (200 mg/day for 2 weeks), and intravenous dexamethasone (0.6 mg/kg/day every 8 hours) and mannitol (1.5 g/kg/day every 8 hours) for the first 3 days, followed by 5 days of oral prednisolone (2 mg/kg/day).

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  • Received : 05 Mar 2020
  • Accepted : 28 Apr 2020
  • Published online : 18 May 2020
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