Difficulties in Diagnosing Trichinella Encephalitis

Mary Ryczak Department of Infectious Diseases, Guthrie Clinic Ltd., Department of Pathology, Robert Packer Hospital, Sayre, Pennsylvania 18840

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William A. Sorber Department of Infectious Diseases, Guthrie Clinic Ltd., Department of Pathology, Robert Packer Hospital, Sayre, Pennsylvania 18840

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Thomas F. Kandora Department of Infectious Diseases, Guthrie Clinic Ltd., Department of Pathology, Robert Packer Hospital, Sayre, Pennsylvania 18840

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Carol J. Camp Department of Infectious Diseases, Guthrie Clinic Ltd., Department of Pathology, Robert Packer Hospital, Sayre, Pennsylvania 18840

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Frederick B. Rose Department of Infectious Diseases, Guthrie Clinic Ltd., Department of Pathology, Robert Packer Hospital, Sayre, Pennsylvania 18840

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DOI:
https://doi.org/10.4269/ajtmh.1987.36.573
Volume/Issue:
Volume 36: Issue 3
Page(s):
573–575
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Trichinella encephalitis remains a rare but life-threatening illness. Although well known to clinicians of another era, this disease currently may represent a diagnostic dilemma because of its infrequent occurrence and varied presentations. This report of trichinella encephalitis, presenting as quadriplegia, demonstrates that technological advances such as CAT scan, angiogram, and EEG are of no diagnostic assistance and add nothing to traditional diagnostic modalities, i.e., eosinophilia, sedimentation rate, and muscle biopsy. In some cases of trichinosis encephalitis where hypersensitivity reaction and/or vasculitis is believed to be the inciting factor, cortical steroids may have a role in treatment.
Copyright:
Copyright © 1987 by The American Society of Tropical Medicine and Hygiene 1987
Accepted:
20 Oct 1986
|
Published Online:
May 1987
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
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