Microbiology
A nematode. Make the diagnosis on biopsy; there is no serology.
Epidemiologic Risks
Eating raw freshwater fish, frogs, reptiles, and birds especially in Japan, Thailand and SE Asia. It is also common in Mexico, beware ceviche, it's people. No, sorry that would be soylent green (PubMed). Ceviche isn't really cooked. And Asian Swamp Eels (PubMed). Mmmmm.
Syndromes
Cutaneous larva migrans and/or eosinophilic meningitis. It can show up in the occasional odd place.
Treatment
Albendazole and ivermectin work in animals (PubMed). Humans are animals, therefore....I'll let you make the leap, I am not going to suggest it.
Albendazole 400 mg daily for 21 days or 400 mg bid for 21 days
or
ivermectin 200 mcg/kg once daily for 1 day or 200 mcg/kg once daily for 2 days all appear effective.
Notes
Last update: 05/05/18