FATAL AUTOCHTHONOUS EOSINOPHILIC MENINGITIS IN A JAMAICAN CHILD CAUSED BY ANGIOSTRONGYLUS CANTONENSIS

J. F. LINDO Department of Microbiology and Department of Pathology, The University of the West Indies, Kingston, Jamaica; Bustamante Hospital for Children, Kingston, Jamaica; National Public Health Laboratory, Ministry of Health, Kingston, Jamaica; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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C. T. ESCOFFERY Department of Microbiology and Department of Pathology, The University of the West Indies, Kingston, Jamaica; Bustamante Hospital for Children, Kingston, Jamaica; National Public Health Laboratory, Ministry of Health, Kingston, Jamaica; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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B. REID Department of Microbiology and Department of Pathology, The University of the West Indies, Kingston, Jamaica; Bustamante Hospital for Children, Kingston, Jamaica; National Public Health Laboratory, Ministry of Health, Kingston, Jamaica; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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G. CODRINGTON Department of Microbiology and Department of Pathology, The University of the West Indies, Kingston, Jamaica; Bustamante Hospital for Children, Kingston, Jamaica; National Public Health Laboratory, Ministry of Health, Kingston, Jamaica; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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C. CUNNINGHAM-MYRIE Department of Microbiology and Department of Pathology, The University of the West Indies, Kingston, Jamaica; Bustamante Hospital for Children, Kingston, Jamaica; National Public Health Laboratory, Ministry of Health, Kingston, Jamaica; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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M. L. EBERHARD Department of Microbiology and Department of Pathology, The University of the West Indies, Kingston, Jamaica; Bustamante Hospital for Children, Kingston, Jamaica; National Public Health Laboratory, Ministry of Health, Kingston, Jamaica; Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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A fatal case of infection with Angiostrongylus cantonensis is reported in a 14-month-old Jamaican boy. Although infection with Angiostrongylus was not considered initially, sections of multiple worms were observed in the brain and lungs at autopsy and confirmed the infection. This is the first reported fatality due to this infection in the Western Hemisphere, and follows shortly after an outbreak of eosinophilic meningitis among a group of travelers to Jamaica. The source of infection in this case could not be determined.

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