I learned a number of things. There certainly are a lot of unpronounceable pathogens out there. There are lot more zoonotic diseases than I thought possible -- and it's not just various critters passing diseases to us, we're passing diseases to them, too.
And I'm never eating sushi again.
[The patient] visited HTD again with a serpiginous, raised lesion on his back and surrounding erythema and eosinophilia (0.9 × 109 cells/L). He was treated empirically with albendazole, 400 mg 2×/d for 21 days, and praziquantel, 20 mg/kg as a single dose, for presumptive diagnosis of helminthic infection. Over the next 6 days, the serpiginous lesion migrated over his shoulder and neck, disappeared for 24 hours, then reappeared between his eyebrows, moved to his forehead and face, and then was felt inside his nose. On day 6, a spot developed below his left nostril, from which he expressed a larva. He brought it to HTD, where it was identified as Gnathostoma spinigerum.In short, he'd picked up parasitic worms by eating raw fish.