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Eosinophilic meningitis due to Angiostrongylus cantonensis in a Belgian traveller
A B Ali1, Erwin Van den Enden, Alfons Van Gompel
1Prince Leopold Institute of Tropical Medicine, Kronenburgstraat 43/3, B-2000 Antwerp, Belgium.
Abstract:
Eosinophilic meningitis is a rare clinical entity. The most frequent cause in travellers to the tropics is infection with the rat lungworm Angiostrongylus cantonensis. In this report, we describe a case of eosinophilic meningitis due to infection with this nematode in a traveller who presented with slight headache, diarrhoea, general malaise and thoracic radicular pain after a trip through Latin America and the Fiji Islands. She responded less than optimally to repeated steroid and albendazole treatments, but finally recovered completely.
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