Eosinophilic meningitis due to Gnathostoma spinigerum.
We present a case of eosinophilic meningitis due to the tissue nematode Gnathostoma spinigerum in a patient with remote travel to Korea. G. spinigerum is found primarily in Southeast Asia, but cases are being increasingly diagnosed in non-endemic areas because of more extensive international travel. The organism has been known to persist in human tissues for over a decade, so earlier travel to endemic areas is important.
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Division of Infectious Diseases, Department of Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. vincentl@mail.med.upenn.edu
Gluckman
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SJ
D000328:Adult; D000818:Animals; D000935:Antifungal Agents / Q000627:therapeutic use; D044466:Asian People; D004802:Eosinophilia / Q000188:drug therapy / Q000469:parasitology*; D005260:Female; D006039:Gnathostoma / Q000302:isolation & purification*; D006801:Humans; D008581:Meningitis / Q000188:drug therapy / Q000469:parasitology*; D017205:Spirurida Infections / Q000175:diagnosis* / Q000188:drug therapy
D000935:Antifungal Agents