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

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-...

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Bibliographic Details
Published in:The American journal of tropical medicine and hygiene 2020-03, Vol.102 (3), p.574-577
Main Authors: Hughes, Gareth, Green, Chris A, Street, Duncan, Maurice, Yasmine, Henderson, John, Woodhouse, Andrew, Nicholl, David, Scriven, James E
Format: Article
Language:English
Subjects:
Adult
Aneurysms
Antibodies, Helminth - blood
Case reports
Fascioliasis - complications
Fascioliasis - drug therapy
Fascioliasis - pathology
Female
Humans
Immunoglobulin G - blood
Infections
Meningitis
Meningitis - diagnosis
Meningitis - parasitology
Meningitis - pathology
Subarachnoid Hemorrhage - diagnosis
Subarachnoid Hemorrhage - parasitology
Subarachnoid Hemorrhage - pathology
Triclabendazole - therapeutic use
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Summary: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.
ISSN:0002-9637
1476-1645
DOI:10.4269/ajtmh.19-0360