Angiostrongylus cantonensis is endemic in Mayotte, and cases of meningitis due to angiostrongyliasis are regularly diagnosed in young children. In a 14-month-old boy with slow-onset psychomotor regression, brain magnetic resonance imaging revealed communicating hydrocephalus. Reverse transcription polymerase chain reaction for A. cantonensis on cerebrospinal fluid was positive. The evolution was favorable with repeated lumbar punctures and a 2-week treatment with albendazole and high-dose corticosteroids.
Keywords: Angiostrongylus cantonensis; angiostrongyliasis; child; eosinophilic meningitis; hydrocephalus.
© The Author(s) 2021. Published by Oxford University Press on behalf of Infectious Diseases Society of America.