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Micronema in Man: Third Fatal Infection^*

C. H. Gardiner, D. S. Koh AND T. A. Cardella

Micronema, normally free-living in soil and humus, rarely invades and reproduces in the central nervous system, kidneys, lungs, maxillae and nasal cavity of equines. Two Micronema infections causing fatal meningoencephalomyelitis in man have been reported from Canada and Texas. Here we report a third infection in a 54-year-old black man, resident of Washington, D.C., who probably acquired the infection from decubitus ulcers. The worms in this patient were in the liver, heart and brain. The Micronema species was not identified.

Accepted for publication December 6, 1980.

^* The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Navy or the Department of Defense.

Address reprint requests to: Dr. Daniel H. Connor, Department of Infectious and Parasitic Disease Pathology, Armed Forces Institute of Pathology, Washington, D.C. 20306.

Dr. Gardiner's military designation is LT, MSC, USN.

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