Human Angiostrongylus cantonensis: an update

Eur J Clin Microbiol Infect Dis. 2012 Apr;31(4):389-95. doi: 10.1007/s10096-011-1328-5. Epub 2011 Jul 5.

Abstract

Angiostrongylus cantonensis was first discovered in 1935 and has become an important emerging pathogen causing human angiostrongyliasis. Major outbreaks of human angiostrongyliasis have been reported in endemic regions. Thousands of cases of human angiostrongyliasis have been documented worldwide. A. cantonensis has spread from its traditional endemic regions of the Pacific islands and Southeast Asia to the American continent including the USA, Caribbean islands and Brazil. Humans acquire A. cantonensis by consumption of raw or undercooked intermediate snail hosts or paratenic hosts. The main clinical manifestations of human angiostrongyliasis are eosinophilic meningitis and ocular angiostrongyliasis. The treatment of this disease includes supportive treatment, corticosteroid therapy, and combined therapy with corticosteroids and anthelminthics. The most effective method for prevention is to persuade people not to eat raw or undercooked intermediate and paratenic hosts.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Angiostrongylus cantonensis / isolation & purification*
  • Angiostrongylus cantonensis / pathogenicity
  • Animals
  • Anthelmintics / therapeutic use
  • Anti-Inflammatory Agents / therapeutic use
  • Disease Outbreaks
  • Endemic Diseases
  • Feeding Behavior
  • Foodborne Diseases / drug therapy
  • Foodborne Diseases / epidemiology
  • Foodborne Diseases / parasitology
  • Foodborne Diseases / pathology
  • Global Health
  • Humans
  • Strongylida Infections / drug therapy
  • Strongylida Infections / epidemiology*
  • Strongylida Infections / parasitology
  • Strongylida Infections / pathology

Substances

  • Adrenal Cortex Hormones
  • Anthelmintics
  • Anti-Inflammatory Agents