Case Reports
Childhood Eosinophilic meningitis: two case reports
Authors:
I. Kankananarachchi ,
University of Ruhuna, LK
About I.
Faculty of Medicine
N. D. Dananjaya Vithanage,
Teaching Hospital Karapitiya, LK
About N. D.
University Paediatric Unit
K. D. N. Silva,
Teaching Hospital Karapitiya, LK
About K. D. N.
University Paediatric Unit
N. Liyanarachchi,
University of Ruhuna, LK
About N.
Faculty of Medicine
U. K. Jayantha
University of Ruhuna, LK
About U. K.
Faculty of Medicine
Abstract
Introduction: Eosinophilic meningitis (EM) is a rare form of meningitis caused by parasitic infestations, Hypereosinophilic syndrome and neoplasms.
Case Presentation: We present two EM cases with no clear evidence of parasitic infestation or malignancy, who responded well to steroid treatment. Both of the patients presented with high-grade fever and features of central nervous system involvement. Both patients had moderate to severe Eosinophilia in blood and cerebrospinal fluid. The patients were treated with broad-spectrum intravenous antibiotics and anti-helminthic drugs with no improvement. However, there was a marked clinical improvement after commencing steroids.
Discussion: Even though the diagnosis of EM was made easily, we could not find an exact aetiology. However, both patients showed a remarkable improvement with our management and no deterioration was observed during the follow-up.
How to Cite:
Kankananarachchi, I., Vithanage, N.D.D., Silva, K.D.N., Liyanarachchi, N. and Jayantha, U.K., 2021. Childhood Eosinophilic meningitis: two case reports. Sri Lanka Journal of Medicine, 30(2), pp.133–137. DOI: http://doi.org/10.4038/sljm.v30i2.296
Published on
30 Dec 2021.
Peer Reviewed
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