de Aguilar Nascimento JE, Silva GM, Tadano T, Valadares Filho M, Akiyama AM, Castelo A, 1993. Infection of the soft tissue of the neck due to Lagochilascaris minor. Trans R Soc Trop Med Hyg 87: 198.
de Moura MQ, Jeske S, Gallina T, Borsuk S, Berne ME, Villela MM, 2012. First report of Lagochilascaris (Nematoda: Ascaridae) eggs in a public park in southern Brazil. Vet Parasitol 184: 359ā361.
Oostburg BFJ, 1992. The sixth case of Lagochilascaris minor in Suriname. Trop Geogr Med 44: 154ā159.
Tanowitz HB, Machado FS, 2013. Chapter 21: Other helminthic infections: ascariasis, dracontiasis, lagochilascariasis, micronemiasis. The Handbook of Clinical NeurologyāNeuroparasitology and Tropical Neurology, 3rd series. Philadelphia, PA: Elsevier, 265ā66.
Prudente MFS, Crespo A de M, Carvalhaes MS, 2009. Lagochilascaris minor: antibody production in experimentally infected mice. Rev Soc Bras Med Trop 42: 325ā328.
Volcan GS, Medrano CE, Payares G, 1992. Experimental heteroxenous cycle of Lagochilascaris minor Leiper, 1909 (Nematoda: Ascarididae) in white mice and in cats. Mem Inst Oswaldo Cruz 87: 525ā532.
Spadafora-Ferreira M, Fernandes LC, Pfrimer IAH, Pichiteli CR, Tambourgi DV, Lino RS Jr, Carvalhaes MS, 2010. Lagochilascaris minor: susceptibility and resistance to experimental infection in mice is independent of H-2a haplotype and correlates with the immune response in immunized animals. J Parasitol Res 2010: 610457.
PaƧƓ JM, Campos DM, Oliveira JA, 1999. Wild rodents as experimental intermediate hosts of Lagochilascaris minor Leiper, 1909. Mem Inst Oswaldo Cruz 94: 441ā449.
Bento RF, Mazza C do C, Motti EF, Chan YT, GuimarĆ£es JR, Miniti A, 1993. Human lagochilascariasis treated successfully with ivermectin: a case report. Rev Inst Med Trop Sao Paulo 35: 373ā375.
Faccio L, Oliveira CB, Denardin CA, Tonin AA, Gressler LT, Dalla Rosa L, Sampaio LC, Stainki DR, Monteiro SG, 2013. Case report: feline infection by Lagochilascaris sp. in the state of Rio Grande do Sul, Brazil. Vet Parasitol 196: 541ā543.
Barbosa AP, Campos DM, Semerene AR, Teixeira AR, Santana JM, 2006. Lagochilascaris minor third-stage larvae secrete metalloproteases with specificity for fibrinogen and native collagen. Microbes Infect 8: 2725ā2732.
Semerene AR, Lino R de S Jr, Oliveira JA, MagalhĆ£es AV, Stefani MM, Barbosa AP, Campos DM, 2004. Experimental lagochilascariosis: histopathological study of inflammatory response to larval migration in the murine model. Mem Inst Oswaldo Cruz 99: 393ā398.
Aquino RTR, Magliari ME, Vital Filho J, Silva MA, Lima CA, Rocha AJ, Silva CJ, Rewin JA, Nahas TR, Chieffi PP, 2008. Lagochilascariasis leading to severe involvement of ocular globes, ears and meninges. Rev Inst Med Trop Sao Paulo 50: 355ā358.
Veloso MGP, Faria MC, de Freitas JD, Moraes MA, Gorini DF, de MendonƧa JL, 1992. Lagoquilascariase humana. Sobre tres casos encontrados no distrito federal, Brazil. Rev Inst Med Trop Sao Paulo 34: 587ā591.
Vargas-Ocampo F, Alvarado-Aleman FJ, 1997. Infestation from Lagochilascaris minor in Mexico. Int J Dermatol 36: 56ā58.
Barbosa CA, Campos DM, 2001. Assessment of ivermectin therapeutic efficacy on fourth stage larvae of Lagochilascariasis minor in experimentally infected cats. Rev Soc Bras Med Trop 34: 373ā376.
Oostburg BFJ, Varma AAO, 1968. Lagochilascaris minor infection in Suriname. Report of a case. Am J Trop Med Hyg 17: 548ā550.
Oostburg BFJ, 1971. Thiabendazole therapy of Lagochilascaris minor infection in Suriname. Report of a case. Am J Trop Med Hyg 20: 580ā583.
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We describe a case of human lagochilascariasis, with skull-base involvement and a chronic and relapsing course after treatment. This rare parasitic infection is usually manifested in the head and neck area, characterized by progressive granulomatous inflammation and the formation of abscesses. Transmission to humans most likely occurs by the consumption of undercooked meat of wild rodents. On the basis of literature studies, we propose the most likely life cycle of the parasite that involves wild feline and rodent species, with humans as accidental hosts. Even in endemic areas, it is very difficult to recognize the disease at an early stage. Progression will eventually lead to involvement of the (central) nervous system, as described in our case. Treatment is often difficult and involves resection and prolonged treatment with anthelmintic drugs. Recurrences are not uncommon and at present, long-term oral administration of ivermectin seems to be the most effective treatment.
Authors' addresses: Joeri A. J. Douma, Department of Internal medicine, VU University Medical Center, Amsterdam, The Netherlands, E-mail: joeridouma@gmail.com. Ralph A. E. Akrum, Department of Ear, Nose, and Throat, Academic Hospital Paramaribo, Paramaribo, Suriname, E-mail: raeakrum@hotmail.com. Rudie Tjong Tjin Joe, Department of Neurosurgery, Academic Hospital Paramaribo, Paramaribo, Suriname, E-mail: rtjongtjinjoe@azp.sr. Mike Chan, Department of Pathology, Academic Hospital Paramaribo, Paramaribo, Suriname, E-mail: mchan@azp.sr. John Codrington, Department of Clinical Chemistry, Academic Hospital Paramaribo, Paramaribo, Suriname, E-mail: johncodrington@hotmail.com. Stephen Gerold S. Vreden, Department of Internal Medicine, Academic Hospital Paramaribo, Paramaribo, Suriname, E-mail: stephenvreden@yahoo.com.
de Aguilar Nascimento JE, Silva GM, Tadano T, Valadares Filho M, Akiyama AM, Castelo A, 1993. Infection of the soft tissue of the neck due to Lagochilascaris minor. Trans R Soc Trop Med Hyg 87: 198.
de Moura MQ, Jeske S, Gallina T, Borsuk S, Berne ME, Villela MM, 2012. First report of Lagochilascaris (Nematoda: Ascaridae) eggs in a public park in southern Brazil. Vet Parasitol 184: 359ā361.
Oostburg BFJ, 1992. The sixth case of Lagochilascaris minor in Suriname. Trop Geogr Med 44: 154ā159.
Tanowitz HB, Machado FS, 2013. Chapter 21: Other helminthic infections: ascariasis, dracontiasis, lagochilascariasis, micronemiasis. The Handbook of Clinical NeurologyāNeuroparasitology and Tropical Neurology, 3rd series. Philadelphia, PA: Elsevier, 265ā66.
Prudente MFS, Crespo A de M, Carvalhaes MS, 2009. Lagochilascaris minor: antibody production in experimentally infected mice. Rev Soc Bras Med Trop 42: 325ā328.
Volcan GS, Medrano CE, Payares G, 1992. Experimental heteroxenous cycle of Lagochilascaris minor Leiper, 1909 (Nematoda: Ascarididae) in white mice and in cats. Mem Inst Oswaldo Cruz 87: 525ā532.
Spadafora-Ferreira M, Fernandes LC, Pfrimer IAH, Pichiteli CR, Tambourgi DV, Lino RS Jr, Carvalhaes MS, 2010. Lagochilascaris minor: susceptibility and resistance to experimental infection in mice is independent of H-2a haplotype and correlates with the immune response in immunized animals. J Parasitol Res 2010: 610457.
PaƧƓ JM, Campos DM, Oliveira JA, 1999. Wild rodents as experimental intermediate hosts of Lagochilascaris minor Leiper, 1909. Mem Inst Oswaldo Cruz 94: 441ā449.
Bento RF, Mazza C do C, Motti EF, Chan YT, GuimarĆ£es JR, Miniti A, 1993. Human lagochilascariasis treated successfully with ivermectin: a case report. Rev Inst Med Trop Sao Paulo 35: 373ā375.
Faccio L, Oliveira CB, Denardin CA, Tonin AA, Gressler LT, Dalla Rosa L, Sampaio LC, Stainki DR, Monteiro SG, 2013. Case report: feline infection by Lagochilascaris sp. in the state of Rio Grande do Sul, Brazil. Vet Parasitol 196: 541ā543.
Barbosa AP, Campos DM, Semerene AR, Teixeira AR, Santana JM, 2006. Lagochilascaris minor third-stage larvae secrete metalloproteases with specificity for fibrinogen and native collagen. Microbes Infect 8: 2725ā2732.
Semerene AR, Lino R de S Jr, Oliveira JA, MagalhĆ£es AV, Stefani MM, Barbosa AP, Campos DM, 2004. Experimental lagochilascariosis: histopathological study of inflammatory response to larval migration in the murine model. Mem Inst Oswaldo Cruz 99: 393ā398.
Aquino RTR, Magliari ME, Vital Filho J, Silva MA, Lima CA, Rocha AJ, Silva CJ, Rewin JA, Nahas TR, Chieffi PP, 2008. Lagochilascariasis leading to severe involvement of ocular globes, ears and meninges. Rev Inst Med Trop Sao Paulo 50: 355ā358.
Veloso MGP, Faria MC, de Freitas JD, Moraes MA, Gorini DF, de MendonƧa JL, 1992. Lagoquilascariase humana. Sobre tres casos encontrados no distrito federal, Brazil. Rev Inst Med Trop Sao Paulo 34: 587ā591.
Vargas-Ocampo F, Alvarado-Aleman FJ, 1997. Infestation from Lagochilascaris minor in Mexico. Int J Dermatol 36: 56ā58.
Barbosa CA, Campos DM, 2001. Assessment of ivermectin therapeutic efficacy on fourth stage larvae of Lagochilascariasis minor in experimentally infected cats. Rev Soc Bras Med Trop 34: 373ā376.
Oostburg BFJ, Varma AAO, 1968. Lagochilascaris minor infection in Suriname. Report of a case. Am J Trop Med Hyg 17: 548ā550.
Oostburg BFJ, 1971. Thiabendazole therapy of Lagochilascaris minor infection in Suriname. Report of a case. Am J Trop Med Hyg 20: 580ā583.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 171 | 171 | 35 |
Full Text Views | 1022 | 205 | 1 |
PDF Downloads | 664 | 122 | 0 |