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September 2, 2026Infectious Diseases of PovertyOpen Access

Cluster of 19 cases of eosinophilic meningitis due to Angiostrongylus cantonensis in Lifou, New Caledonia: an outbreak investigation

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Authors

YDYves‐Marie DucrotJMJean-Sébastien MORAMBMorgane BAHU

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Overview

An outbreak investigation reveals a cluster of eosinophilic meningitis linked to foodborne contamination, highlighting transmission risks from open-air food preparation in endemic regions.

Key Points

  • Investigate the scope and source of an eosinophilic meningitis cluster following community festivities to guide public health interventions.
  • Conducted a retrospective epidemiological, serological, and environmental investigation one month post-exposure, classifying cases as confirmed, probable, or suspected.
  • Evaluated clinical data, food exposures, water reservoirs, and potential environmental vectors, including rats and gastropods in food preparation areas.
  • Identified 19 total cases (3 confirmed, 16 suspected) with a median incubation period of 3 weeks (IQR: 2–4); all attended a single day of festivities.
  • Detected positive Angiostrongylus cantonensis serology in 3/3 confirmed cases, 13/14 tested suspected cases, and 10/10 asymptomatic individuals tested at 9 months, though water samples were negative for parasite DNA.

Cite This Study

Ducrot et al. (2026) studied this question.

synapsesocial.com/papers/6a97e29ec562ede874ec6ce7https://doi.org/10.1186/s40249-026-01498-7
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