Revista de Biología Tropical ISSN Impreso: 0034-7744 ISSN electrónico: 2215-2075

OAI: https://revistas.ucr.ac.cr/index.php/rbt/oai
Angiostrongylus costaricensis, a neotropical parasite with a controversial diagnosis and treatment.
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Keywords

Angiostrongylus costaricensis; diagnostis; treatment.
Angiostrongylus costaricensis; diagnóstico; tratamiento.

How to Cite

Gutiérrez-Espeleta, G., Páez, R., & Arias-Echandi, M.-L. (2019). Angiostrongylus costaricensis, a neotropical parasite with a controversial diagnosis and treatment. Revista De Biología Tropical, 67(S2), S159-S163. https://doi.org/10.15517/rbt.v67i2SUPL.37222

Abstract

Abdominal angiostrogyliasis is a sporadic parasitosis that occurs in Neotropical countries, mainly in Costa Rica. It is a disease with an infrequent diagnosis and a controversial treatment. We discuss a case of an adult that presents a severe generalized discomfort, abdominal pain and an intense eosinophilia that leads to the detection of a mass at the right lower quadrant. Definitive diagnosis is achieved by the Morera Test and the treatment includes the use of azythromicin and metronidazole: no antihelmintic drugs or surgery were used. The case shows that both the diagnosis and treatment of this parasitosis are uncertain. An important underreporting of the disease may occur, as well as confusion of the symptoms with other pathologies.

https://doi.org/10.15517/rbt.v67i2SUPL.37222
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References

Araya, A., Quesada, L. & Vargas, H. (2015). Angiostrongilosis abdominal. Revista Médica Costa Rica y Centro América. LXXI, 711-718.

Arroyo, R., & Morera, P. (1978). Viability of the first stage larvae of Angiostrongylus costaricensis in rat feces. Journal of Parasitology, 64(1), 146.

Bonetti, V. C., & Graeff-Teixeira, C. (1998). Angiostrongylus costaricensis and the intermediate hosts: observations on elimination of L3 in the mucus and inoculation of L1 through the tegument of mollusc. Revista Sociedade Brasileira de Medicina Tropical, 31, 289-294.

Graeff-Teixeira, C., Agostini, A., & Rodríguez, R. (2007). Angiostrongiliase abdominal. In: W. Tavares & L. A. C. Marinho (Eds.), Rotinas de diagnótico e tratamento das doencas infecciosas e parasitárias (pp. 98-101) Sao Paulo: Atheneu.

Graeff-Teixeira, C., Camilo-Coura, L., & Lenzi, H. L. (1991a). Abdominal angiostrongyliasis: an under-diagnosed disease. Memorias Instituto Oswaldo Cruz, 82, 353-354.

Graeff-Teixeira, C., Camillo-Coura, L., & Lenzi, H. L. (1991b). Clinical and epidemiological aspects of abdominal angiostrongyliasis in southern Brazil. Revista Instituto Medicina Tropical de Sao Paulo, 33, 373-378.

Incani, R. N., Caleiras, E., Martín, M., & González, C. (2007). Human infection by Angiostrongylus costaricensis in Venezuela: first report of a confirmed case. Revista Instituto Medicina Tropical de Sao Paulo, 49, 197-200.

Kramer, M. H. (1998). First reported outbreak of abdominal angiostrongyliasis. Clinical Infectious Diseases, 26, 365-372.

Loría-Cortés, R., & Lobo-Sanahuja, J. (1980). Clinical abdominal angiostrongyliasis. A study of 116 children with intestinal eosinophilic granuloma caused by Angiostrongylus costaricensis. American Journal of Tropical Medicine and Hygiene, 29, 538-544.

Mesén, P., & Calvo, N. (2010). Diagnóstico de la angiostrongilosis abdominal en Costa Rica. Costa Rica: CNRP-INCIENSA.

Monge, E., Arroyo, R., & Solano, E. (1978). A new definitive natural host of Angiostrongylus costaricensis. Journal of Parasitology, 64(1), 34.

Morera, P. (1970). Investigación del huésped definitivo de Angiostrongylus costaricensis Morera y Céspedes 1971. Boletín Chileno de Parasitología, 25, 133-134.

Morera, P. (1987). Abdominal angiostrongyliasis. Baillere’s Clinical Tropical Medicine and Communicable Diseases, 2, 747-753.

Morera, P. & Bontempo, I. (1985). Acción de algunos antihelmínticos sobre Angiostrongylus costaricensis. Revista Médica Hospital Nacional de Niños, 20, 165-174.

Morera, P., & Céspedes, R. (1971). Angiostrongylus costaricensis n. sp (Nematoda: Metastrongyloidea), a new lungworm occurring in man in Costa Rica. Revista Biología Tropical, 18(1-2), 173-185.

Morera, P., Pérez, F., Mora, F., & Castro, L. (1982). Visceral larva migrans-like síndrome caused by Angiostrongylus costaricensis. American Journal of Tropical Medicine and Hygiene, 31, 67-70.

Pizarro-Porras, J. (2003). Angiostrongiliasis abdominal. Revisión de 33 casos. (Tesis de Licenciatura). Universidad de Costa Rica, Sede Rodrigo Facio.

Rodríguez, R. (1997). Anatomía patológica de angiostrongilose abdominal (Disertación de Maestado). Universidade Federal Fluminense, Brasil.

Rodríguez, R., Martins, R., Peruzzo, L., Moacir, P., Garcia, E., & Fornari, F. (2008). Abdominal angiostrongyliasis: report of two cases with different clinical presentations. Revista Instituto Medicina Tropical de Sao Paulo, 50, 339-341.

Romero-Alegría, A., Belhassen-García, M., Velasco-Tirado, V., García-Mingo, A., Alvela-Suárez, L., Pardo-Lledias, J., & Cordero, M. (2014). Angiostrongylus costaricensis: Systemtic review of case reports. Advances in Infectious Disease, 4, 36-41.

Terada, M., Kino, H., Akyol, C., & Sano, M. (1993). Effects of mebendazole on Angiostrongylus costaricensis in mice with special reference to the timing of treatment. Parasitic Research, 79, 441-443.

Vuong, P., Brama, P., Bonete, R., Houissa-Vuong, S., Catanzano-Laroudie, M., & Baviera, E. (2002). Necrotic eosinophilic angiitis with ileal perforation and peritonitis secondary to abdominal angiostrongyliasis. Presse Médicale, 31, 1700-1703.

Wu, S., French, S. & Turner, J. (1997). Eosinophilic ileitis with perforation caused by Angiostrongylus costaricensis. A case study and review. Archives of Pathology and Laboratory Medicine, 121, 989-991.

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