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Childhood Eosinophilic meningitis: two case reports

Authors:

I. Kankananarachchi ,

University of Ruhuna, LK
About I.
Faculty of Medicine
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N. D. Dananjaya Vithanage,

Teaching Hospital Karapitiya, LK
About N. D.
University Paediatric Unit
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K. D. N. Silva,

Teaching Hospital Karapitiya, LK
About K. D. N.
University Paediatric Unit
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N. Liyanarachchi,

University of Ruhuna, LK
About N.
Faculty of Medicine
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U. K. Jayantha

University of Ruhuna, LK
About U. K.
Faculty of Medicine
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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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