In recent years, the number of foreign technical intern trainees in Japan has been steadily increasing. As a result, opportunities to treat foreign patients with different cultures and customs have also increased and so has the possibility of encountering cases that have not been previously experienced. We report a case of a 25-year-old Cambodian man who is residing in Japan as a technical intern trainee. He presented with a chief complaint of headache and dizziness. After further examination, a diagnosis of intracerebral hemorrhage was made. Blood tests revealed peripheral eosinophilia, and chest computed tomography showed multiple abnormal findings, leading to the suspicion of a parasitic infection. Detailed medical history revealed a dietary history suggestive of a parasitic infection. Further, he tested positive for serum and cerebrospinal fluid antibodies against Paragonimus species and serum antibodies against liver fluke. 

https://www.sciencedirect.com/science/article/abs/pii/S1341321X26000425