Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis

Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had...

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Bibliographic Details
Published in:Case reports in anesthesiology 2018, Vol.2018 (2018), p.1-4
Main Authors: Bain, Jennifer, Ferreras, Krystal, Gottlieb, David, Busse, Jennifer, Schechter, William
Format: Article
Language:English
Subjects:
Abdomen
Analgesics
Care and treatment
Case Report
Case reports
Drug dosages
Gabapentin
Headaches
Health aspects
Infections
International marketing
Ketamine
Meningitis
Methadone
Pain
Systematic review
Weaning
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Summary:Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can be fatal. The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding. We present the case of a fourteen-year-old female who had previously traveled to Hawaii and developed severe neuropathic pain related to A. cantonensis infection refractory to gabapentin and pregabalin monotherapy, who was eventually managed with an ultralow dose ketamine infusion, methadone, and serotonin-norepinephrine reuptake inhibitor.
ISSN:2090-6382
2090-6390
DOI:10.1155/2018/5038272