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Research Article

Table 2

Abdominal angiostrongyliasis in the Antilles. Literature review of the six HAA cases described in the Greater and Lesser Antilles before the description of the new confirmed and probable HAA cases in Martinique. ND: No Data.

Case 1 2 3 4 5 6
Background data
Island Martinique, Lesser Antilles Guadeloupe, Lesser Antilles Dominican Republic, Greater Antilles Puerto Rico, Greater Antilles Dominica, Lesser Antilles
Reference [24] [26] [59] [47] [50]
Year of diagnosis 1984 1987 1989 1989 1993 1997
Season Rainy season ND ND ND ND ND
Sex M F M M M M
Age 16 months 20 months 5 years 41 years 42 years ND (student)
Area of residence (city) Martinique (Sainte-Luce) ND ND ND Pennsylvania for 2 months, Puerto Rico the past 3 years US student living in Dominica
Living conditions Rural area, house without water or electricity Rural & residential area, presence of rats. Wealthy family Rural area, no water or electricity, presence of rats ND ND ND
Travel outside of island of residence No ND ND ND Yes, Puerto Rico 2 months before ND
Medical history None None None ND ND ND
Reported contact with mollusks ND ND ND ND ND ND
Clinical picture
Duration of symptoms before admission 42 days 1 month 3 months ND ND ND
Extra-digestive symptoms Poor general condition, slight fever, constant crying, anorexia ND Poor general condition, behavioral disorders, prostration ND ND ND
Digestive symptoms & bleeding Vomiting, melena Abdominal pain, intestinal occlusion, intermittent rectorrhagia Intense abdominal pain, diarrhea, melena, rectorrhagia Recurrent gastro-intestinal bleeding Severe right-lower quadrant abdominal pain ND
Loss of weight 25% ND 6 kg ND ND ND
Laboratory results
Anemia (g/dL) 6 8.8 4.5 ND ND ND
Mean corpuscular volume (MCV) 67 ND 88 ND ND ND
Initial WBC (G/L) 20 19 26.3 ND ND ND
Initial eosinophilia (G/L (%)) 1.46 (7%) 0.38 (2%) 2.49 (9%) ND ND ND
Max. eosinophilia (G/L) 2.50 ND 8.41 ND ND ND
Abdominal imaging & surgery
Exploratory laparotomy Yes Yes No Yes Yes ND
Intestinal resection 5 cm 18 cm (ileum) Appendix ND 12 cm (ileo-ceacum + appendix) ND
Histology of resected specimen
Histological examination Adults, eggs, and larvae in ileal biopsy ND ND ND Granulomas, giant cells, eggs, L1 larvae, eosinophilic infiltration ND
Diagnosis and medical care
Anthelmintic (Thiabendazole) 75 mg/kg for 3 days 75 mg/kg for 2 days 75 mg/kg for 3 days, 3 times ND ND ND
Outcome Recovery Recovery Recovery Recovery Recovery Recovery

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