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Eosinophilic Meningitis Due to Infection With Paragonimus kellicotti
Nathan C Bahr1, Robin L Trotman2, Hala Samman3
1Division of Infectious Diseases, Department of Medicine, University of Kansas, Kansas City, KS, USA.
Summary
Paragonimus kellicotti, a lung fluke, is causing eosinophilic meningitis in the US. This emerging pathogen presents a rare but serious neurological complication, highlighting the need for increased awareness and diagnostic vigilance.
Area of Science:
- Parasitology
- Infectious Diseases
- Neurology
Background:
- Paragonimus kellicotti is an emerging parasitic lung fluke in the United States, with most cases reported in Missouri.
- Pulmonary manifestations with eosinophilia are the most common clinical presentation.
- Previous reports include a rare case of central nervous system involvement.
Observation:
- This report details the first two documented cases of eosinophilic meningitis caused by Paragonimus kellicotti.
- Both patients presented with neurological symptoms indicative of meningitis.
Findings:
- The study confirms Paragonimus kellicotti as a causative agent of eosinophilic meningitis.
- This expands the known clinical spectrum of this parasitic infection.
Implications:
- Highlights the potential for Paragonimus kellicotti to cause severe neurological disease.
- Emphasizes the importance of considering parasitic infections in cases of eosinophilic meningitis, especially in endemic areas.
- Suggests a need for improved diagnostic strategies and public health awareness regarding this emerging zoonotic pathogen.
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