Eating Centipedes Can Result in Angiostrongylus cantonensis Infection: Two Case Reports and Pathogen Investigation

Huijie Wang Department of Pathogen Biology and Experimental Teaching Centre of Preventive Medicine, Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, Key Laboratory for Tropical Disease Research of Guangdong Province, School of Public Health, Southern Medical University, Guangzhou, China;

Search for other papers by Huijie Wang in
Current site
Google Scholar
PubMed
Close
,
Lingli Lu Department of Neurology, Zhujiang Hospital, Southern Medical University, Guangzhou, China;

Search for other papers by Lingli Lu in
Current site
Google Scholar
PubMed
Close
,
Dan She Department of Pathogen Biology and Experimental Teaching Centre of Preventive Medicine, Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, Key Laboratory for Tropical Disease Research of Guangdong Province, School of Public Health, Southern Medical University, Guangzhou, China;

Search for other papers by Dan She in
Current site
Google Scholar
PubMed
Close
,
Zhibo Wen Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, China

Search for other papers by Zhibo Wen in
Current site
Google Scholar
PubMed
Close
,
Zexun Mo Department of Pathogen Biology and Experimental Teaching Centre of Preventive Medicine, Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, Key Laboratory for Tropical Disease Research of Guangdong Province, School of Public Health, Southern Medical University, Guangzhou, China;

Search for other papers by Zexun Mo in
Current site
Google Scholar
PubMed
Close
,
Jun Li Department of Pathogen Biology and Experimental Teaching Centre of Preventive Medicine, Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, Key Laboratory for Tropical Disease Research of Guangdong Province, School of Public Health, Southern Medical University, Guangzhou, China;

Search for other papers by Jun Li in
Current site
Google Scholar
PubMed
Close
, and
Hua Li Department of Pathogen Biology and Experimental Teaching Centre of Preventive Medicine, Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, Key Laboratory for Tropical Disease Research of Guangdong Province, School of Public Health, Southern Medical University, Guangzhou, China;

Search for other papers by Hua Li in
Current site
Google Scholar
PubMed
Close
Restricted access

Angiostrongyliasis is a food-borne parasitic disease caused by the nematode Angiostrongylus cantonensis that can lead to eosinophilic meningitis (EM) or meningoencephalitis in humans. Angiostrongylus cantonensis is prevalent in the Pacific Islands. In recent years, a large number of outbreaks and severe cases have occurred. Several species of mollusk, such as snails and slugs, act as intermediate and paratenic hosts of A. cantonensis. In this study, two cases of EM were found to have been caused by infection with A. cantonensis due to consumption of raw centipedes. To survey the A. cantonensis infections acquired through centipedes that the patients had bought at a vegetable market, we performed etiological examinations and polymerase chain reaction amplification of A. cantonensis genes. Third-instar larvae of A. cantonensis were detected in the centipedes, and specific genes from A. cantonensis were detected in all the specimens. This indicates that the centipede may act as a competent host for the transmission of A. cantonensis. To our knowledge, this is the first report of A. cantonensis infection through the consumption of centipedes.

Author Notes

Address correspondence to Hua Li, Department of Pathogen Biology and Experimental Teaching Centre of Preventive Medicine, Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, Key Laboratory for Tropical Disease Research of Guangdong Province, School of Public Health, Southern Medical University, Guangzhou, China. E-mail: lih@smu.edu.cn

Financial support: This work was supported by grants from the National Natural Science Foundation of China (No. 81471980 and No. 30972577) and the Natural Science Foundation of Guangdong Province (No. 2014A030313318), and the research was funded by the Studying Abroad Project of Southern Medical University.

Authors’ addresses: Huijie Wang, Dan She, Zexun Mo, Jun Li, and Hua Li, Department of Pathogen Biology and Experimental Teaching Centre of Preventive Medicine, Key Laboratory of Prevention and Control for Emerging Infectious Diseases of Guangdong Higher Institutes, Key Laboratory for Tropical Disease Research of Guangdong Province, School of Public Health, Southern Medical University, Guangzhou, China, E-mails: mary890119k@gmail.com, danshe0928@163.com, mozexun427@163.com, 307510681@qq.com, and lih@smu.edu.cn. Lingli Lu, Department of Neurology, Zhujiang Hospital, Southern Medical University, Guangzhou, China, E-mail: lulingli2005@126.com. Zhibo Wen, Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, China, E-mail: zhibowen@163.com.

These authors contributed equally to this work.

  • 1.

    Chen HT, 1935. Un nouveau n{\'e}matodepulmonaire, Pulmonemacantonensis ng, n. sp., des rats de Canton. Ann Parasitol Hum Comp 13: 312–314.

    • Search Google Scholar
    • Export Citation
  • 2.

    Vitta A, Polsut W, Fukruksa C, Yimthin T, Thanwisai A, Dekumyoy P, 2016. Levels of infection with the lungworm Angiostrongylus cantonensis in terrestrial snails from Thailand, with Cryptozona siamensis as a new intermediate host. J Helminthol 90: 737–741.

    • Search Google Scholar
    • Export Citation
  • 3.

    Kwon E, Ferguson TM, Park SY, Manuzak A, Qvarnstrom Y, Morgan S, Ciminera P, Murphy GS, 2013. A severe case of Angiostrongylus eosinophilic meningitis with encephalitis and neurologic sequelae in Hawa’i. Hawaii J Med Public Health 72 (Suppl 2): 41–45.

    • Search Google Scholar
    • Export Citation
  • 4.

    Liu IH, Chung YM, Chen SJ, Cho WL, 2006. Necrotizing retinitis induced by Angiostrongylus cantonensis. Am J Ophthalmol 141: 577–579.

  • 5.

    Panackel C, Vishad, Cherian G, Vijayakumar K, Sharma RN, 2006. Eosinophilic meningitis due to Angiostrongylus cantonensis. Indian J Med Microbiol 24: 220–221.

    • Search Google Scholar
    • Export Citation
  • 6.

    Kanpittaya J, Jitpimolmard S, Tiamkao S, Mairiang E, 2000. MR findings of eosinophilic meningoencephalitis attributed to Angiostrongylus cantonensis. AJNR Am J Neuroradiol 21: 1090–1094.

    • Search Google Scholar
    • Export Citation
  • 7.

    Nalini A, Ramakrishna A, Dekumoy P, Kumar RR, Pakdee W, Saini J, Hegde VS, 2013. Severe form of radiculo—myelo—neuropathy with meningo—encephalitis secondary to Angiostrongylus cantonensis infection: unusual corpus callosal lesions and serial magnetic resonance imaging findings. Neurol India 61: 414–418.

    • Search Google Scholar
    • Export Citation
  • 8.

    Tsai HC, Lai PH, Sy CL, Lee SS, Yen CM, Wann SR, Chen YS, 2011. Encephalitis caused by Angiostrongylus cantonensis after eating raw frogs mixed with wine as a health supplement. Intern Med 50: 771–774.

    • Search Google Scholar
    • Export Citation
  • 9.

    Lai CH, Yen CM, Chin C, Chung HC, Kuo HC, Lin HH, 2007. Eosinophilic meningitis caused by Angiostrongylus cantonensis after ingestion of raw frogs. Am J Trop Med Hyg 76: 399–402.

    • Search Google Scholar
    • Export Citation
  • 10.

    Luessi F, Sollors J, Torzewski M, Müller HD, Siegel E, Blum J, Sommer C, Vogt T, Thƶmke F, 2009. Eosinophilic meningitis due to Angiostrongylus cantonensis in Germany. J Travel Med 16: 292–294.

    • Search Google Scholar
    • Export Citation
  • 11.

    Ali AB, Van den Enden E, Van Gompel A, Van Esbroeck M, 2008. Eosinophilic meningitis due to Angiostrongylus cantonensis in a Belgian traveller. Travel Med Infect Dis 6: 41–44.

    • Search Google Scholar
    • Export Citation
  • 12.

    Fuller AJ, Munckhof W, Kiers L, Ebeling P, Richards MJ, 1993. Eosinophilic meningitis due to Angiostrongylus cantonensis. West J Med 159: 78–80.

    • Search Google Scholar
    • Export Citation
  • 13.

    Maretić T, Perović M, Vince A, Lukas D, Dekumyoy P, Begovac J, 2009. Meningitis and radiculomyelitis caused by Angiostrongylus cantonensis. Emerg Infect Dis 15: 996–998.

    • Search Google Scholar
    • Export Citation
  • 14.

    Lim JM, Lee CC, Wilder-Smith A, 2004. Eosinophilic meningitis caused by Angiostrongylus cantonensis: a case report and literature review. J Travel Med 11: 388–390.

    • Search Google Scholar
    • Export Citation
  • 15.

    Zhang X, Liu M, Wu Y, Mo Z, Shen H, Chen D, Li H, 2012. Analysis of larval excretory-secretory antigen and its immunodiagnosis of Angiostrongyliasis cantonensis infection [in Chinese]. Nan Fang Yi Ke Da Xue Xue Bao 32: 477–481.

    • Search Google Scholar
    • Export Citation
  • 16.

    Wei JL, Zhou WC, Shao BY, She SS, Wang SK, Chen WB, Chen SL, 2008. Establishment of a PCR assay for detection of snails infected with Angiostrongylus cantonensis. Chinese J Zoonoses 12: 1136–1140.

    • Search Google Scholar
    • Export Citation
  • 17.

    Wang QP, Chen XG, Lun ZR, 2007. Invasive fresh water snail, China. Emerg Infect Dis 13: 1119–1120.

  • 18.

    Yang TB, Wu ZD, Lun ZR, 2013. The apple snail Pomacea canaliculata, a novel vector of the rat lungworm, Angiostrongylus cantonensis: its introduction, spread, and control in China. Hawaii J Med Public Health 72 (Suppl 2): 23–25.

    • Search Google Scholar
    • Export Citation
  • 19.

    Chen SN, 1986. Enzyme-linked immunosorbent assay (ELISA) for the detection of antibodies to Angiostrongylus cantonensis. Trans R Soc Trop Med Hyg 80: 398–405.

    • Search Google Scholar
    • Export Citation
  • 20.

    Chotmongkol V, Wongjitrat C, Sawadpanit K, Sawanyawisuth K, 2004. Treatment of eosinophilic meningitis with a combination of albendazole and corticosteroid. Southeast Asian J Trop Med Public Health 35: 172–174.

    • Search Google Scholar
    • Export Citation
  • 21.

    Kim JR, Hayes KA, Yeung NW, Cowie RH, 2014. Diverse gastropod hosts of Angiostrongylus cantonensis, the rat lungworm, globally and with a focus on the Hawaiian Islands. PLoS One 9: e94969.

    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 151 151 31
Full Text Views 2367 359 4
PDF Downloads 585 135 1
 
Membership Banner
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save