While on a trip to Hawaii, a teenager swallowed the creature shown in the image. The 16-year then returned back to this home in NY only to develop nausea, vomiting, and severe abdominal cramps a few days later. Over the next few days, the GI symptoms eased but then he developed a fever, headache, and stiffness of the neck. He presented to the ED where he was found to have facial nerve palsy on the right side. A lumbar puncture revealed marked eosinophilia but the fluid was negative for any organisms. All other workup was negative. He was admitted and monitored in the ICU. Because the patient was showing gradual clinical improvement, no antibiotics were administered. The infectious disease expert felt that the infection may have been due to a parasite endemic to the Hawaii and Pacific region. By the end of 2 weeks, all the symptoms had resolved and the patient was discharged. Based on the history and presentation, what is the definitive HOST for this parasite?
A. Mosquito
B. Pig
C. Rat
D. Bird
For answer & explanation
https://www.youtube.com/watch?v=r4pKz1yji8w
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