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Ascariasis-associated worm encephalopathy in a young child
Kana Ram Jat1, R K Marwaha, Inusha Panigrahi
1Department of Pediatrics, Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India. drkanaram@gmail.com
Tropical Doctor
|March 21, 2009
Summary
Ascariasis-associated encephalopathy is a rare complication of Ascaris lumbricoides infection in children. Prompt diagnosis and antihelminthic treatment lead to complete recovery, highlighting its importance in tropical regions.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neurology
Background:
- Ascariasis, caused by Ascaris lumbricoides, is a common intestinal nematode infection globally.
- While typically causing gastrointestinal symptoms, neurological manifestations are rare.
Observation:
- An 18-month-old boy presented with altered sensorium and passed Ascaris worms in his vomitus.
- Cerebrospinal fluid analysis showed no abnormalities.
Findings:
- The child was diagnosed with ascariasis-associated encephalopathy.
- Treatment with an antihelminthic drug resulted in complete neurological recovery.
Implications:
- Worm encephalopathy should be considered in the differential diagnosis of unexplained encephalopathy, particularly in tropical areas.
- Early recognition and treatment of ascariasis can prevent severe neurological sequelae.
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