Accéder directement au contenu Accéder directement à la navigation
Nouvelle interface
Article dans une revue

Neurological manifestations of filarial infections.

Abstract : Filarial infections cause a huge public health burden wherever they are endemic. These filaria may locate anywhere in the human body. Their manifestations and pathogenic mechanisms, except the most common ones, are rarely investigated systematically. Their neurological manifestations, however, are being increasingly recognized particularly with onchocerciasis or Loa loa infections, Wuchereria bancrofti, or Mansonella perstans. The risk of developing these manifestations may also increase in cases that harbor multiple filariasis or coinfections, for instance as with Plasmodium. The microfilaria of Onchocerca and Loa loa are seen in cerebrospinal fluid. The pathogenesis of neurological manifestations of these infections is complex; however, pathogenic reactions may be caused by mechanical disruption, e.g., degeneration often followed by granulomas, causing fibrosis or mass effects on other tissues, vascular lesions, e.g., vascular block of cerebral vessels, or disordered inflammatory responses resulting in meningitis, encephalitis or localized inflammatory responses. The chances of having neurological manifestations may also depend upon the frequency and"heaviness"of infection over a lifetime. Hence, this type of infection should no longer be considered a disease of the commonly affected areas but one that may produce systemic effects or other manifestations, and these should be considered in populations where they are endemic.
Type de document :
Article dans une revue
Liste complète des métadonnées
Contributeur : Elisabeth Grelier Connectez-vous pour contacter le contributeur
Soumis le : mercredi 8 janvier 2014 - 13:29:34
Dernière modification le : samedi 26 mars 2022 - 04:24:37




Devender Bhalla, Michel Dumas, Pierre-Marie Preux. Neurological manifestations of filarial infections.. Handb Clin Neurol, 2013, 114, pp.235-42. ⟨10.1016/B978-0-444-53490-3.00018-2⟩. ⟨hal-00925647⟩



Consultations de la notice