Eosinophilic meningitis is seen with all except?
Correct Answer: Cryptococcal meningitis
Description: Ans. is 'b' i.e., Cryptococcal meningitis Causes of eosinophilic meningitis Infectious, parasitic causes Roundworm (nematode) infections - commonly present as eosinophilic meningitis Angiotronglylus cantonensis - migrating larvae inherently neurotropic Gnathostoma spinigerum - migrating larvae in visceral and/or neural tissues Baylisascaris procyonis - migrating larvae inherently neurotropic Tapeworm (cestode) infections - may present as eosinophilic meningitis Cysticercosis -Cysts develop in CNS and/or visceral tissues Fluke (trematode) infections - occasionally cause eosinophilic meningitis Paragonimus westermani - ectopic spinal or cerebral localization. Schistosomiasis - ectopic spinal or cerebral localization. Fascioliasis - ectopic CNS localization. Other roundworm infections which occasionally cause eosinophilic meningitis Toxocariasis - migrating larvae Nonparasitic, infectious causes Coccidioidomycosis Cryptococcosis - CSF eosinophilia rare Myiasis - with CNS penetration Virus and bacteria - are of unceain causality Noninfectious causes Idiopathic hypereosinophilic syndromes Ventriculoperitoneal shunts Leukemia or lymphoma with CNS involvement (Hodgkin's) Nonsteroidal antiinflammatory drugs Antibiotics - ciprofloxacin, trimethoprim - sulfamethoxazole, intraventricular gentamicin or vancomycin Myelography contrast agents
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