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