Case Report: Protracted Eosinophilic Meningitis due to Probable Angiostrongyliasis
- Resource Type
- Authors
- Nicholas Norton; Christopher Mansbridge; Simon M Fox
- Source
- Am J Trop Med Hyg
- Subject
- medicine.medical_specialty
Eosinophilic Meningitis
biology
business.industry
Corticosteroid treatment
Articles
medicine.disease
biology.organism_classification
Dermatology
Angiostrongylus cantonensis
Albendazole
Infectious Diseases
Cerebrospinal fluid
Virology
Angiostrongyliasis
Medicine
Eosinophilia
Parasitology
medicine.symptom
business
Angiostrongylus
medicine.drug
- Language
- English
Eosinophilic meningitis is classically caused by Angiostrongylus cantonensis. Treatment usually includes supportive care and corticosteroids. Anthelminthic drugs are often avoided because of the risk of an inflammatory reaction to dying larvae. The duration of symptoms in most cases is up to a few weeks. We describe a case of eosinophilic meningitis, likely due to Angiostrongylus spp. infection, with recurrent symptoms and persistent cerebrospinal fluid eosinophilia despite corticosteroid treatment, over a period of almost 5 months. This only resolved after treatment with albendazole.