Abstract
Neurocysticercosis is the commonest CNS parasitic disease worldwide but cysticercal meningoencephalitis is relatively rare, especially in Indian patients. We herein report a girl with cysticercal meningitis that was initially not suspected and later diagnosed on the basis of cerebrospinal fluid (CSF) eosinophilia. The need for CSF examination with wright-giemsa staining to avoid missing CSF eosinophilia is discussed.
This is a preview of subscription content, log in via an institution to check access.
References
Singh G. Neurocysticercosis in the south-central America and the Indian subcontinent.Arq Neuropsiquiatr 1997; 55: 349–356.
Mahajan RC. Geographical distribution of human cysticercosis. In,Cysticercosis: Present state of Knowledge and Perspectives, (Ed.) Ana Flisser,et al. Academic Press 1982, 39–46.
Tasker WG, Plotkin SA. Cerebral CysticercosisPediatrics 1979; 63: 761–763.
Wang CH, Gao SF, Guo YP. Diagnostic significance of eosinophilia of the cerebro-spinal fluid in cerebral cysticercosis.Chinese Medical Journal 1993; 106: 282–284.
Wilber RR, King EB, Howes EL. Cerebrospinal fluid cytology in five patients with cerebral cysticercosis.Acta Cytologica 1980; 24: 421–426.
Visudhipan P, Chiemchanya S. Acute cysticercal meningitis in children: response to praziquantel.Ann Trop Ped 1997; 17: 9–13.
Char DFB, Rosen L. Eosinophilic meningitis among children in Hawaii,J Pediatr 1967; 70: 28–35.
Puri V., Sharma DK. Neurocysticercosis in children.Indian Pediatr 1991; 28: 1309–1317.
Venkatraman S, Roy AK, Dhamija RM, Sanchetee PC. Cysticercal meningoencephalitis-Clinical presentation and autopsy findings.J Assoc Phys India 1990; 38: 763–765.
Singhi P, Ray M, Singhi S, Khandelwal P. Clinical spectrum of 500 children with neurocysticercosis and response to albendazole therapy.J Child Neurol 2000; 15: 207–213.
Kalra V, Mittal R, Rana KS, Gupta A. Neurocysticercosis: Indian experience. Perat MV (Ed.), PitNew Developments in Neurology, Monduzzi Editore S.P.A. Bologna, Italy; 1998 pp 353–359.
Joubert J. Cysticercal meningitis- a pernicious form of neurocysticercosis which responds poorly to praziquantel.S Afr Med J 1990; 77: 528–530.
Garcia HH, Evans CAW, Nash TEet al. Current consensus guidelines for the treatment of Neurocysticercosis.Clin Microbiol Rev 2002; 15: 747–756.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mishra, D., Sharma, S., Gupta, S. et al. Acute cysticercal meningitis—Missed diagnosis. Indian J Pediatr 73, 835–837 (2006). https://doi.org/10.1007/BF02790397
Issue Date:
DOI: https://doi.org/10.1007/BF02790397