Eosinophilic meningitis is seen with all except?
Coccidiomycosis
Cryptococcal meningitis
Lepto meningeal metastasis
Helminthic infections
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