Eosinophilic meningitis in a returned traveler from Santo Domingo: case report and review

J Travel Med. 2007 Nov-Dec;14(6):407-10. doi: 10.1111/j.1708-8305.2007.00152.x.

Abstract

We describe one case of eosinophilic meningitis (EM) in a traveler returning from Santo Domingo, presumably caused by Angiostrongylus cantonensis. Treatment with mebendazole and steroids was effective. The presence of persistent headache, fever, and eosinophilia in travelers who return from developing countries should alert clinicians to the possibility of EM.

Publication types

  • Review

MeSH terms

  • Adult
  • Angiostrongylus cantonensis / isolation & purification*
  • Animals
  • Antinematodal Agents / therapeutic use
  • Diagnosis, Differential
  • Dominican Republic
  • Eosinophilia / diagnosis
  • Eosinophilia / drug therapy
  • Eosinophilia / parasitology*
  • Glucocorticoids / therapeutic use
  • Humans
  • Italy
  • Male
  • Mebendazole / therapeutic use
  • Meningitis / diagnosis
  • Meningitis / drug therapy
  • Meningitis / parasitology*
  • Prednisolone / therapeutic use
  • Strongylida Infections / diagnosis*
  • Strongylida Infections / drug therapy
  • Travel*

Substances

  • Antinematodal Agents
  • Glucocorticoids
  • Mebendazole
  • Prednisolone