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Hindi Case Report
Baylisascaris Procyonis Neural Larva Migrans in an Infant in New York City
Jason E. Perlman1,2*, Kevin R. Kazacos3, Gavin H. Imperato4, Rajen U. Desai5, Susan K. Schulman2, Jon Edwards6, Lucy R. Pontrelli1,2, Fabiana S. Machado7, Herbert B. Tanowitz8, and Norman A. Saffra5
1Division of Pediatric Infectious Diseases, Maimonides Infants and Children’s Hospital of Brooklyn, Brooklyn, NY 11219, USA
2Department of Pediatrics, Maimonides Infants and Children’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, USA
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
- *Corresponding Author:
- Jason E. Perlman
Division of Pediatric Infectious Diseases
Maimonides Infants and Children’s Hospital of Brooklyn
Brooklyn, NY 11219
USA
E-mail: jperlman@maimonidesmed.org
Received date: 10 May 2010; Accepted date: 08 June 2010
Abstract
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 parasite’s eggs.
