Journal
PEDIATRIC INFECTIOUS DISEASE JOURNAL
Volume 21, Issue 10, Pages 971-975Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00006454-200210000-00017
Keywords
Baylisascaris; neural larva migrans; raccoon
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Baylisascaris procyonis, the common raccoon roundworm, is a rare cause of devastating or fatal neural larva migrans in infants and young children. We describe the clinical features of two children from suburban Chicago who developed severe, nonfatal B. procyonis neural larva migrans. Despite treatment with albendazole and high dose corticosteroids, both patients are neurologically devastated. In many regions of North America, large populations of raccoons with high rates of endemic B. procyonis infection live in proximity to humans, which suggests that the risk of human infection is probably substantial. In the absence of effective treatment, prevention of infection remains the most important public health strategy.
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