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Neurological manifestations of filarial infections.
[dracunculiasis]
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
.
Diseases
Validation
Diseases presenting
"are rarely investigated systematically"
symptom
dracunculiasis
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