Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals

The diagnosis of meningitic angiostrongyliasis (MA) is based on clinical criteria. A lumbar puncture is used as a diagnostic tool, but it is an invasive procedure. The blood eosinophil levels are also assessed and used in the diagnosis of this disease. We enrolled 47 patients with serologically prov...

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Main Authors: Kittisak Sawanyawisuth, Kanlayanee Sawanyawisuth, Vichai Senthong, Panita Limpawattana, Pewpan M Intapan, Somsak Tiamkao, Suthipun Jitpimolmard, Verajit Chotmongkol, Elizabeth Barrett-Connor
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2010-11-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762010000700020
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author Kittisak Sawanyawisuth
Kanlayanee Sawanyawisuth
Vichai Senthong
Panita Limpawattana
Pewpan M Intapan
Somsak Tiamkao
Suthipun Jitpimolmard
Verajit Chotmongkol
Elizabeth Barrett-Connor
author_facet Kittisak Sawanyawisuth
Kanlayanee Sawanyawisuth
Vichai Senthong
Panita Limpawattana
Pewpan M Intapan
Somsak Tiamkao
Suthipun Jitpimolmard
Verajit Chotmongkol
Elizabeth Barrett-Connor
author_sort Kittisak Sawanyawisuth
collection DOAJ
description The diagnosis of meningitic angiostrongyliasis (MA) is based on clinical criteria. A lumbar puncture is used as a diagnostic tool, but it is an invasive procedure. The blood eosinophil levels are also assessed and used in the diagnosis of this disease. We enrolled 47 patients with serologically proven MA and 131 controls with intestinal parasite infections. An absolute eosinophil count model was found to be the best marker for MA. An eosinophil count of more than 798 cells led to sensitivity, specificity, positive predictive and negative predictive values of 76.6%, 80.2%, 58.1% and 90.5%, respectively. These data support the use of testing for high blood eosinophil levels as a diagnostic tool for MA in individuals that are at risk for this disease.
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spelling doaj.art-4dac1df4e60f47e087b4ace2986334c72023-08-02T09:28:35ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602010-11-01105794294410.1590/S0074-02762010000700020Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individualsKittisak SawanyawisuthKanlayanee SawanyawisuthVichai SenthongPanita LimpawattanaPewpan M IntapanSomsak TiamkaoSuthipun JitpimolmardVerajit ChotmongkolElizabeth Barrett-ConnorThe diagnosis of meningitic angiostrongyliasis (MA) is based on clinical criteria. A lumbar puncture is used as a diagnostic tool, but it is an invasive procedure. The blood eosinophil levels are also assessed and used in the diagnosis of this disease. We enrolled 47 patients with serologically proven MA and 131 controls with intestinal parasite infections. An absolute eosinophil count model was found to be the best marker for MA. An eosinophil count of more than 798 cells led to sensitivity, specificity, positive predictive and negative predictive values of 76.6%, 80.2%, 58.1% and 90.5%, respectively. These data support the use of testing for high blood eosinophil levels as a diagnostic tool for MA in individuals that are at risk for this disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762010000700020eosinophiliadiagnosismeningitisangiostrongyliasisAngiostrongylus cantonensis
spellingShingle Kittisak Sawanyawisuth
Kanlayanee Sawanyawisuth
Vichai Senthong
Panita Limpawattana
Pewpan M Intapan
Somsak Tiamkao
Suthipun Jitpimolmard
Verajit Chotmongkol
Elizabeth Barrett-Connor
Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals
Memorias do Instituto Oswaldo Cruz
eosinophilia
diagnosis
meningitis
angiostrongyliasis
Angiostrongylus cantonensis
title Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals
title_full Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals
title_fullStr Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals
title_full_unstemmed Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals
title_short Peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals
title_sort peripheral eosinophilia as an indicator of meningitic angiostrongyliasis in exposed individuals
topic eosinophilia
diagnosis
meningitis
angiostrongyliasis
Angiostrongylus cantonensis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762010000700020
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