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. Author manuscript; available in PMC: 2016 Aug 1.
Published in final edited form as: Immunol Allergy Clin North Am. 2015 Aug;35(3):493–522. doi: 10.1016/j.iac.2015.05.003

Table 3. Infectious causes and symptoms of eosinophilic meningitis.

Organism Risk Symptoms MRI Abnormalities Eosinophilia
White Matter Increased Signal on T2/FLAIR Hydroce phalus Mass Lesion(s) Frequency of Peripheral eosinophilia CSF Degree of Eosinophilia
Angiostrongylus cantonensis [206-208] Consumption of raw snails, frogs, shellfish, fish, or contaminated vegetables or water. HA, NV X 77-90% +++
Baylisascaris procyonis [209-211] Ingestion of eggs in raccoon feces (toddlers/young children) Fever, ataxia, development al regression, SZ X X 5-45% +++
Coccidioides spp. [180, 182, 212-214] Residing in endemic area. Males of Hispanic, African, and Asian ethnicity. Immunocompromised (HIV, steroid use). HA, AMS, fever X X 19-75% +/-
Gnathostoma spp. [25, 206, 215] Ingestion of uncooked fish, amphibians, reptiles, poultry, pork from endemic area (see Table 1) Sudden pain followed by limb paralysis, urinary retention, AMS X ∼50% ++
Paragonimus spp. [216] Consuming uncooked freshwater crabs or crayfish HA, NV, paralysis, SZ X ∼88% +/-
Schistosoma spp. [217-221] Freshwater contact in an endemic area (see Table 1) HA, AMS, SZ, limb weakness X >50% +/-
Spirometra spp., Sparganum proliferum [205, 222] Ingestion of snakes, frogs, or untreated freshwater Sz, hemiparesis, HA X X X ∼25% ND*
Taenia solium (Neurocysticercosis) Sotelo, 1985; Earnest, 1987; Shandera, 1994; Castillo-Iglesias, 2005; Monteiro, 1993} Ingestion of stool from a human infected with pig tapeworm. SZ, HA, NV, AMS X X +
Toxocara canis or T. cati [223, 224] Ingestion of eggs in dog/cat feces AMS, SZ, paralysis. X >50% ++

HA Headache, AMS altered mental status, SZ seizure, NV nausea/vomiting

+ <50 eosinophils/μL

++ 50-500 eosinophils/μL

+++>500 eosinophils/μL

*

No Data