2nd August 2023

A 27-year-old woman presents to A&E with new-onset seizures. She returned 6 weeks ago from a trip to India

A 27-year-old woman presents to A&E with new-onset seizures. She returned 6 weeks ago from a trip to India, where she ate pork for the first time. Blood tests show a raised white cell count and marked eosinophilia. CT scan of the brain reveals a single enhancing lesion. She has further seizure activity where she becomes faecally incontinent, and the nurse mentions the presence of worms in the stool.

What is the most likely cause?

Select the SINGLE most appropriate option from the list below. Select ONE option only.