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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
PubMed

Insights

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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