Jat Kana Ram, Marwaha R K, Panigrahi Inusha, Gupta Kunal
Department of Pediatrics, Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Trop Doct. 2009 Apr;39(2):113-4. doi: 10.1258/td.2008.080244.
Infestation with Ascaris lumbricoides in children has a varied manifestation, but encephalopathy is a very rare presentation. This report describes a case of ascariasis-associated encephalopathy in a child. An 18-month-old boy was admitted with altered sensorium. He had a history of vomiting and was passing Ascaris worms in the vomitus. The cerebrospinal fluid analysis did not reveal any abnormality. The patient was treated with an antihelminthic drug and he recovered completely. Worm encephalopathy should be considered as a differential diagnosis for unexplained encephalopathy in tropical areas.
儿童感染蛔虫有多种表现，但脑病是一种非常罕见的症状。本报告描述了一名儿童蛔虫病相关性脑病的病例。一名18个月大的男孩因意识改变入院。他有呕吐史，呕吐物中有蛔虫排出。脑脊液分析未发现任何异常。该患者接受了抗蠕虫药物治疗并完全康复。在热带地区，蠕虫性脑病应被视为不明原因脑病的鉴别诊断之一。
