Case Report: Subarachnoid Hemorrhage and Eosinophilic Meningitis due to Disseminated Fascioliasis.

Am J Trop Med Hyg

Department of Infectious Diseases and Tropical Medicine, University Hospitals Birmingham NHS (National Health Service) Trust, Birmingham Heartlands Hospital, Birmingham, United Kingdom.

Published: March 2020

Human infection with the trematode occurs with a worldwide prevalence of up to 17 million. Sheep and cattle are the normal host. Infection typically results in hepatobiliary disease, but extrahepatic manifestations are occasionally reported. Here, we present the case of a previously healthy 31-year-old Kurdish woman, admitted to hospital with a subarachnoid hemorrhage, eosinophilic meningitis, and lung and liver disease. A diagnosis of infection was made based on strongly positive serology in blood and cerebrospinal fluid. The patient improved following treatment with triclabendazole and prednisolone.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056418PMC
http://dx.doi.org/10.4269/ajtmh.19-0360DOI Listing

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