Open Access
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 |
| Angiostrongylus serodiagnosis |
ND | ND | ND | ND | No | 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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