The visitors stunned David Moyes' men 49 seconds into the first half when Rafael Borre set up Knauff with a cross from the corner of the box and the 20-year-old headed home, silencing the sold-out 60,000 crowds at the London Stadium.
The Premier League side equalised 20 minutes later, after Kurt Zouma connected with the free-kick and nodded on to forward Michail Antonio who made it 1-1 from close range.
But Eintracht regained the lead in the 54th, as West Ham keeper Alphonse Areola stopped a shot by midfielder Djibril Sow but did not manage to save the follow-up strike by Daichi Kamada, who scored his fifth Europa League goal this season
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