{"id":5374,"date":"2014-08-16T07:52:58","date_gmt":"2014-08-16T11:52:58","guid":{"rendered":"http:\/\/blogs.nejm.org\/?p=5374"},"modified":"2015-06-04T14:32:10","modified_gmt":"2015-06-04T18:32:10","slug":"dietary-advice-from-your-friendly-id-doc-dont-eat-garden-slugs","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/dietary-advice-from-your-friendly-id-doc-dont-eat-garden-slugs\/2014\/08\/16\/","title":{"rendered":"Dietary Advice From Your Friendly ID Doc:  Don&#8217;t Eat Garden Slugs"},"content":{"rendered":"<p><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2014\/08\/slug1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-5381\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2014\/08\/slug-300x1801.jpg\" alt=\"Alys Fowler: monster slugs\" width=\"300\" height=\"180\" \/><\/a>From the pages of <em>Open Forum Infectious Diseases<\/em>, comes this <a href=\"http:\/\/ofid.oxfordjournals.org\/content\/1\/2\/ofu063.full\" target=\"_blank\">cautionary case report:<\/a><\/p>\n<p style=\"padding-left: 30px\"><strong>Toxocariasis After Slug Ingestion Characterized by Severe Neurologic, Ocular, and Pulmonary Involvement<\/strong><\/p>\n<p>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&#8217;s an understatement) work-up found elevated antibody levels to <em>Toxocara canis,<\/em> otherwise known as the dog roundworm.<\/p>\n<p>But the case truly hinges on this sensational sentence.<\/p>\n<p style=\"padding-left: 30px\">One month later, a reassessment of the case history revealed a <strong>long-standing daily intake of 2 or 3 raw local slugs<\/strong> for alternative therapy of gastroesophageal reflux; this information prompted us to perform further investigations.<\/p>\n<p>Vive La France!<\/p>\n<p>And oh yeah, <a href=\"http:\/\/blogs.nejm.org\/index.php\/infectious-diseases-specialists-take-the-best-medical-histories\/2012\/04\/04\/\" target=\"_blank\">ID doctors take the best medical histories.<\/a><\/p>\n<p><center><iframe loading=\"lazy\" src=\"\/\/www.youtube.com\/embed\/K6YZsmOJPwQ\" width=\"420\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/center><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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, [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-5374","post","type-post","status-publish","format-standard","hentry","category-health-care"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/5374","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=5374"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/5374\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=5374"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=5374"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=5374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}