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Volume 22, Number 8—August 2016
Dispatch

Baylisascaris procyonis–Associated Meningoencephalitis in a Previously Healthy Adult, California, USA

Charles LangelierComments to Author , Michael J. Reid, Cathra Halabi, Natalie Witek, Alejandro LaRiviere, Maulik Shah, Michael R. Wilson, Peter Chin-Hong, Vanja Douglas, Kevin R. Kazacos, and Jennifer M. Babik
Author affiliations: University of California, San Francisco, California, USA (C. Langelier, M.J. Reid, C. Halabi, N. Witek, A. LaRiviere, M. Shah, M.R. Wilson, P. Chin-Hong, V. Douglas, J.M. Babik); Purdue University College of Veterinary Medicine, West Lafayette, Indiana, USA (K.R. Kazacos)

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Table 2

Cases of cerebrospinal fluid infection with Baylisascaris spp. roundworms in adults and adolescents, United States and Canada, 1986–2015

Year Patient age, y Location Risk factor(s) Treatment Outcome Reference
1986 21 Oregon, USA Developmental delay and geophagia Not recorded Persistent residual deficits (7)
2000 17 California, USA Developmental delay and geophagia Albendazole and antiinflammatory drugs Died (8)
2007 17 Oregon, USA Altered mentation from drug abuse None Aphasia and memory deficits (9)
2009 54 Missouri, USA Intellectual disability; eating food scraps from public garbage cans None Died (10)
2012 73 British Columbia, Canada Dementia None Identified at time of autopsy (11)
2015 63 California, USA Home or occupational exposure Albendazole (20 mg/kg/d) + dexamethasone (1 mg/kg/d) Partial recovery after 6 weeks This report

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References
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  15. Centers for Disease Control and Prevention. Parasites—Baylisascaris infection. Resources for health professionals [cited 2016 Feb 1]. http://www.cdc.gov/parasites/baylisascaris/health_professionals/index.html#tx

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Page created: September 12, 2016
Page updated: September 12, 2016
Page reviewed: September 12, 2016
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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