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- eosinophilic meningitis
- Angiostrongylus cantonesis
- 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 …
Competing interests: None declared.
Individual author’s contribution and responsibilities: All the authors were involved in the care of the patient, and analysis and interpretation of data, including writing and critical revision of the report. The Corresponding Author, Dr Radhakrishnan, had full access to all the data, had final responsibility for the decision to submit for publication, and obtaining consent from the patient to do so.