The diving doctor’s diary: Eosinophilic meningitis presenting as decompression illness.

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The diving doctor’s diary: Eosinophilic meningitis presenting as decompression illness.

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Title: The diving doctor’s diary: Eosinophilic meningitis presenting as decompression illness.
Author: Davis, M
Abstract: An experienced diver presented with suspected decompression illness (DCI) 17 days after an uncontrolled ascent from a 33 m dive carried out whilst on a tropical holiday. He had progressive symptoms of general malaise, headache, irritability, impaired mentation and facial, shoulder and leg pains and itchiness. A raised eosinophil count in blood and cerebrospinal fluid led to a diagnosis of eosinophilic meningitis rather than DCI, and this was confirmed by subsequent serology positive for the rat lung nematode worm Angiostrongylus cantonensis. Recovery was slow, with persistent symptoms still present at 18 months. This case illustrates the diagnostic difficulties where care givers in a traveler’s home region are not versed in either diving or tropical medicine.
Description: Journal of the South Pacific Underwater Medicine Society.
URI: http://archive.rubicon-foundation.org/7637
Date: 2002

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