Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis

Pharmacological Management of Severe Neuropathic Pain in a Case of Eosinophilic Meningitis Related to Angiostrongylus cantonensis

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Angiostrongylus cantonensis, the rat lungworm, is the most common infectious cause of eosinophilic meningitis and can 6561416 be fatal.The parasite can be found throughout Southeast Asia and Pacific Islands and the global distribution is expanding.We present the case of a fourteen-year-old female who had previously traveled to Hawaii and developed severe neuropathic pain related to A.

cantonensis infection refractory to gabapentin and pregabalin monotherapy, who was p1006-1420eg eventually managed with an ultralow dose ketamine infusion, methadone, and serotonin-norepinephrine reuptake inhibitor.