Pediatric Radiology

, Volume 42, Issue 3, pp 369–373

Spinal cord involvement in a child with raccoon roundworm (Baylisascaris procyonis) meningoencephalitis

  • Teresa G. Kelly
  • Vandana L. Madhavan
  • Jurriaan M. Peters
  • Kevin R. Kazacos
  • V. Michelle Silvera
Case Report

DOI: 10.1007/s00247-011-2151-y

Cite this article as:
Kelly, T.G., Madhavan, V.L., Peters, J.M. et al. Pediatr Radiol (2012) 42: 369. doi:10.1007/s00247-011-2151-y

Abstract

A 14-month-old previously healthy boy developed progressively worsening neurological symptoms secondary to eosinophilic meningoencephalitis with myelitis caused by raccoon roundworm (Baylisascaris procyonis) infection. MRI demonstrated T2 hyperintensity and enhancement of the cerebral white matter, cerebellum and spinal cord. Prior case reports have described signal abnormality within the brains of patients with raccoon roundworm neural larva migrans (NLM). This is a unique case in which spinal cord involvement was established by imaging. Knowledge of this combination of imaging findings expands the known imaging phenotype of this noteworthy infection.

Keywords

Raccoon roundworm Meningoencephalitis Myelitis 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Teresa G. Kelly
    • 1
  • Vandana L. Madhavan
    • 3
  • Jurriaan M. Peters
    • 4
  • Kevin R. Kazacos
    • 5
  • V. Michelle Silvera
    • 1
    • 2
  1. 1.Department of RadiologyChildren’s Hospital Boston, Harvard Medical SchoolBostonUSA
  2. 2.Division of NeuroradiologyChildren’s Hospital Boston and Harvard Medical SchoolBostonUSA
  3. 3.Division of Infectious DiseasesChildren’s Hospital Boston, Harvard Medical SchoolBostonUSA
  4. 4.Department of NeurologyChildren’s Hospital Boston, Harvard Medical SchoolBostonUSA
  5. 5.Department of Comparative PathobiologyPurdue University, School of Veterinary MedicineWest LafayetteUSA

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