Asunto(s)
Ansiedad , COVID-19 , Depresión , Humanos , COVID-19/epidemiología , COVID-19/psicología , Prevalencia , China/epidemiología , Depresión/epidemiología , Ansiedad/epidemiología , Masculino , Femenino , Adulto , Personal de Hospital/psicología , SARS-CoV-2 , Persona de Mediana Edad , Personal de Salud/psicología , Factores de RiesgoAsunto(s)
COVID-19 , Familia , Unidades de Cuidados Intensivos , Salud Mental , Humanos , COVID-19/psicología , COVID-19/epidemiología , Familia/psicología , SARS-CoV-2RESUMEN
One hundred and twenty-five patients with eosinophilic meningitis or meningoencephalitis were studied in southern Taiwan in 1968 and 1969. The majority of patients had mild to moderate disease, but several had severe manifestations. Four patients died and three others had severe permanent sequelae such as blindness. Young adult Angiostrongylus cantonensis were recovered from nine patients, at autopsy in one, and from the cerebrospinal fluid of eight who survived. The clinical manifestations of cases of proven etiology were similar to those of cases from which parasites were not recovered and it is believed that the latter also were the result of infection with A. cantonensis.
Asunto(s)
Meningitis/etiología , Meningoencefalitis/etiología , Metastrongyloidea , Adolescente , Adulto , Ceguera/etiología , Líquido Cefalorraquídeo/citología , Niño , Preescolar , Eosinófilos , Femenino , Humanos , Lactante , Recuento de Leucocitos , Masculino , Meningitis/líquido cefalorraquídeo , Meningoencefalitis/sangre , Meningoencefalitis/líquido cefalorraquídeo , Meningoencefalitis/complicaciones , Meningoencefalitis/diagnóstico , Persona de Mediana Edad , PronósticoRESUMEN
A study of the epidemiologic characteristics of 125 cases of eosinophilic meningitis or meningoencephalitis, probably caused by Angiostrongylus cantonensis, which occurred in southern Taiwan in 1968 and 1969 revealed a close association of the disease with the rainy season. In contrast to findings in other geographic areas, most such cases in this study occurred among children. A higher attack rate was observed among aborigines than among descendants of mainland Chinese. Most patients had eaten the giant African snail, Achatina fulica, prior to their illness and this mollusc was commonly found infected with third-stage larvae of A. cantonensis. However, in almost all instances the snail was eaten after it had been thoroughly cooked and examination of cooked snail meat revealed only dead larvae. It is suspected that patients became infected by inadvertently ingesting A. cantonensis larvae liberated when the snails were prepared for consumption.