ASCARIASIS ENCEPHALOPATHY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 47
Abstract
PRESENTATION OF CASE A 5-year-old girl presented with complaints of fever for 2 days, no documentation, no diurnal variation, not associated with chills and rigors. Complaints of seizure for 1 day, 3 episodes, in the form of tonic posturing of all 4 limbs lasting for approximately 2-3 minutes with up rolling of eyeballs with clenching of teeth without any urinary or stool incontinence followed by altered sensorium since then. The child was developmentally normal, with no history of ear discharge, fall, trauma, contact with tuberculosis, vomiting, loose stool, no history of seizure in the past. On the day of admission, the GCS was 12/15 (E4 V2 M6), tone was normal, deep tendon reflexes could not be elicited bilaterally, bilateral planter was flexor, pupils were normal reacting to light bilaterally and the fundus was normal, with no signs of meningeal irritation. Other systems were within normal limits. On 2nd day of admission, GCS of the child was 9/15 (E2V2M5). Patient had a bout of vomiting, nonprojectile, non-bilious, containing Ascaris worm 4 in number on 3rd day of admission. There was no improvement in sensorium. The patient was treated with pyrantel pamoate and showed a dramatic recovery within 72 hours of antihelminthic treatment.
Authors and Affiliations
Manisha Kumari, Santosh Bhalke
Keywords
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- EP ID EP548177
- DOI 10.14260/jemds/2018/1140
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