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\ue000 a recently recognized parasitic infection
\ue000 1955- first case was first described from the Netherlands
\ue000 third stage larva is ingested by humans in the flesh of raw fish
for adult parasite-
(Dolphin, whale, porpoise)
Seals \u2013 (Pseudoteranova)
granulomatous, foreign-body type reaction or massive
eosinophilic infiltration with hemorrhage, fibrinous exudate,
and edema of intestinal wall that produces intestinal
\ue000endoscopy for diagnosis and treatment
\ue000 larvae are removed from the stomach wall by biopsy forceps
\ue000surgical intervention for obstruction and perforation
\ue000 immunologic tests still under study
\ue000 otherwise, managed conservatively
Ileocecal region; eggs
deposited in the
\ue000 history of travel to or residence in endemic area
\ue000 inquiry into eating habits and food eaten
\ue000 leukocytosis and eosinophilia
\ue000 eosinophilic meningitis, differential dx:
\ue000 dead parasite could exacerbate tissue reaction
\ue000 anti-inflammatory agents need evaluation
\ue000 surgical intervention if necessary
- Central belt of African countries
- Asia, India, Pakistan
- Middle East: Saudi Arabia, Yemen
Lewis in India
- geographic distribution \u2013 practically all warm regions of the world.
Microfilariae \u2013 270 X 9 micra
- smooth cuticula
- rounded anterior, blunt tail
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