title: [Eosinophilic meningitis].
abstract: BACKGROUND
  Diagnosis of Angiostrongylus cantonensis meningitis is not always obvious, even in endemic areas.
  
  
  METHODS
  We report a 51-year-old Polynesian man, farmer without past medical history, who was admitted for mild fever, headache, neurological subjective symptoms, and severe muscle pain impeding walking. The diagnosis of A. cantonensis meningitis, guided by hypereosinophilia was confirmed by lumbar puncture and positive specific serology. Lumbar puncture and administration of corticosteroids rapidly reduced headache whereas paraesthesias declined more progressively.
  
  
  CONCLUSIONS
  Diagnosis of A. cantonensis meningitis should be considered in patients living or returning from endemic areas with headache associated with subjective neurological symptoms and hypereosinophilia.
authors.affiliation: Service de médecine interne, centre hospitalier de Polynésie française, Taaone-Pirae, Tahiti, Polynésie française. erwan.oehler@cht.pf
authors.forename: E
authors.initials: E
authors.lastname: Oehler
mesh_terms: D017185:Angiostrongylus cantonensis / Q000302:isolation & purification; D000818:Animals; D004802:Eosinophilia / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D008297:Male; D008581:Meningitis / Q000175:diagnosis / Q000382:microbiology*; D008875:Middle Aged; D017206:Strongylida Infections / Q000150:complications* / Q000175:diagnosis
keywords: Angiostrongylus cantonensis; Hypereosinophilia; Hyperéosinophilie; Meningitis; Méningite