Eosinophilic meningitis and an ocular worm in a patient from Kerala, south India (original) (raw)
Eosinophilic meningitis and an ocular worm in a patient from Kerala, south India
- N N Baheti1,
- M Sreedharan1,
- T Krishnamoorthy2,
- M D Nair1,
- K Radhakrishnan1
- 1
Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India - 2
Departments of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India - Dr K Radhakrishnan, Professor and Head, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum–695011, Kerala, India; krk{at}sctimst.ac.in
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- Meningitis
- eosinophilic meningitis
- Angiostrongylus cantonesis
- angiostrongyliasis
- magnetic resonance imaging
Angiostrongylus cantonesis is the most common cause of eosinophilic meningitis worldwide.1 Rats serve as the definitive host of Angiostrongylus cantonesis, whereas humans become infected by ingesting third-stage larvae in raw intermediate hosts, such as snails, prawns, fish, frogs or monitor lizards.2 Infection has also rarely been acquired by the consumption of vegetables contaminated with infective larvae.3 4 Outside Southeast Asia and the Pacific Basin, where the infection is endemic, Angiostrongylus eosinophilic meningitis is seldom encountered.2
A 40-year-old woman, a resident of Kerala, southern India, presented with a 3-week history of low-grade fever, headache and vomiting. Other than neck rigidity, neurological and systemic examinations were normal. The blood counts …