An Interesting Case of Eosinophilic Meningitis
Published: April 1, 2013 | DOI: https://doi.org/10.7860/JCDR/2013/.2897
Shivanand Pai, Deepak Madi, Basavaprabhu Achappa, Soundarya Mahalingam, Rakshith Kendambadi
1. Assistant Professor, Department of Neurology, Kasturba
Medical College, Mangalore (affiliated to Manipal University)
2. Assistant Professor, Department of General Medicine,
Kasturba Medical College, Mangalore (affiliated to Manipal
University)
3. Associate Professor, Department of General Medicine,
Kasturba Medical College, Mangalore (affiliated to Manipal
University)
4. Associate Professor, Department of Paediatrics, Kasturba
Medical College, Mangalore (affiliated to Manipal University)
5. Assistant Professor, Department of Neurology, Kasturba
Medical College, Mangalore (affiliated to Manipal
University), Karnataka, India.
Correspondence
Dr. Deepak Madi,
Assistant Professor, Department of General Medicine,
Kasturba Medical College, (affiliated to Manipal University)
Attavar, Mangalore-575001, Karnataka, India.
Phone: 09845609148
E-mail: deepakmadi1234@gmail.com
Angiostrongylus cantonensis is one of the causative agents of eosinophilic meningitis. Humans get infected when they ingest raw or partially cooked snails or monitor lizards (Varanus bengalensis). There is a popular belief that the tongue and the liver of the monitor lizard has aphrodisiac properties. A 20-year-old man was admitted to our hospital with a history of fever, headache and vomiting. His cerebrospinal fluid revealed eosinophilia. He gave a history of the ingestion of a monitor lizard, ten days prior to the onset of the symptoms. So, a diagnosis of eosinophilic meningitis due to Angiostrongylus cantonensis was made. He was treated with oral albendazole and prednisolone. His symptoms improved gradually within two weeks from his admission.
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