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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
"e"
symptom
allergic bronchopulmonary aspergillosis
aromatase deficiency
cadasil
child syndrome
dracunculiasis
gm1 gangliosidosis
inclusion body myositis
kallmann syndrome
krabbe disease
neonatal adrenoleukodystrophy
pleomorphic liposarcoma
pyomyositis
trochlear dysplasia
wolf-hirschhorn syndrome
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