Volume 22, Number 8—August 2016
Dispatch
Baylisascaris procyonis–Associated Meningoencephalitis in a Previously Healthy Adult, California, USA
Table 1
Microbiologic diagnostics obtained during testing of a previously healthy patient with Baylisascaris meningoencephalitis, California, USA*
Diagnostic study | Site | Result |
---|---|---|
Bacterial cultures ×4 | Blood and CSF | Negative |
Coxiella antibody | Blood | Negative |
Bartonella henselae and B. quintana antibodies | Blood | Negative |
Mycoplasma antibody | Blood | IgM negative, IgG 1:5 |
Rickettsial antibody panel | Blood | Negative |
Venereal Disease Research Laboratory test | CSF | Negative |
Lyme disease antibody | CSF | Negative |
Cytomegalovirus PCR | CSF | Negative |
Epstein–Barr virus PCR | CSF | Negative |
Enterovirus PCR | CSF | Negative |
Herpes simplex virus PCR | CSF | Negative |
Lymphocytic choriomeningitis virus IgM, IgG | CSF | IgM 1:2, IgG negative† |
Varicella zoster virus PCR, IgM, IgG | CSF | Negative |
West Nile virus IgM, IgG | CSF | Negative |
Baylisascaris antibody | Blood and CSF | Positive |
Strongyloides antibody | Blood | Negative |
Trichinella antibody | Blood | Negative |
Toxocara antibody | Blood | Negative |
Toxoplasma antibody | Blood | Negative |
Ova and parasite stain | CSF | Negative |
Fungal stains and cultures ×4 | Blood and CSF | Negative |
Coccidiodes antibody by complement fixation | Blood and CSF | Negative |
Coccidiodes antibody by immunodiffusion | Blood | Negative |
Cryptococcal antigen |
Blood and CSF |
Negative |
AFB stains and cultures ×4 | CSF | Negative |
Broad-range PCR (bacteria, fungi, AFB) |
CSF |
Negative |
Cytology | CSF | Chronic inflammation |
*AFB, acid-fast bacilli; CSF, cerebrospinal fluid.
†A low-titer IgM for lymphocytic choriomeningitis virus was considered to be a false-positive result.