Journal of Neuroparasitology
Vol. 1 (2010), Article ID N100502, 5 pages [Full-Text PDF]
Baylisascaris Procyonis Neural Larva Migrans in an Infant in New York City
Jason E. Perlman,1,2 Kevin R. Kazacos,3
Gavin H. Imperato,4 Rajen U. Desai,5
Susan K. Schulman,2 Jon Edwards,6 Lucy R. Pontrelli,1,2 Fabiana S. Machado,7 Herbert B. Tanowitz,8 and Norman A. Saffra5
1Division of Pediatric Infectious Diseases, Maimonides Infants and ChildrenÂ’s Hospital of Brooklyn, Brooklyn, NY 11219, USA
2Department of Pediatrics, Maimonides Infants and ChildrenÂ’s Hospital of Brooklyn, Brooklyn,
NY 11219, USA
3Department of Comparative Pathobiology, Purdue University School of Veterinary Medicine, West Lafayette, IN 47907, USA
4Department of Medicine, College of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203,
5Department of Ophthalmology, Maimonides Medical Center, Brooklyn, NY 11219, USA
6Department of Radiology, Maimonides Medical Center, Brooklyn, NY 11219, USA
7Department of Biochemistry and Immunology, Institute of Biological Sciences, Federal University of Minas Gerais, Belo Horizonte, MG, CEP 30161-970, Brazil
8Departments of Pathology and Medicine, Albert Einstein College of Medicine, Diagnostic Parasitology Laboratory and Parasitology Clinic,
Jacobi Medical Center, Bronx, NY 10461, USA
Received 10 May 2010; Accepted 08 June 2010
Neural larva migrans (NLM) with eosinophilic
meningoencephalitis secondary to raccoon roundworm
(Baylisascaris procyonis) infection has been reported in
rural and suburban areas of North America and Europe
with extant raccoon populations. Most cases have occurred
in infants less than two years of age exposed to areas of
raccoon fecal contamination. Here, we present a case of
Baylisascaris-induced NLM from the densely populated
borough of Brooklyn in New York City and alert urban
pediatricians to consider this cause of clinical neurologic
disease even in areas not typically thought to be associated
with endemic risk factors. Infected raccoons also occur
in urban settings, and urban children may be exposed to
environmental areas or materials contaminated with their
feces and the parasiteÂ’s eggs.
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