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An ongoing dialogue on HIV/AIDS, infectious diseases,
August 16th, 2014
Dietary Advice From Your Friendly ID Doc: Don’t Eat Garden Slugs
From the pages of Open Forum Infectious Diseases, comes this cautionary case report:
Toxocariasis After Slug Ingestion Characterized by Severe Neurologic, Ocular, and Pulmonary Involvement
I encourage you to read the full paper, but the short story is that a previously healthy 71-year-old man was admitted to a hospital in France with fever, cough, headaches, confusion, and eosinophilia. A comprehensive (that’s an understatement) work-up found elevated antibody levels to Toxocara canis, otherwise known as the dog roundworm.
But the case truly hinges on this sensational sentence.
One month later, a reassessment of the case history revealed a long-standing daily intake of 2 or 3 raw local slugs for alternative therapy of gastroesophageal reflux; this information prompted us to perform further investigations.
Vive La France!
And oh yeah, ID doctors take the best medical histories.