[Neurotrichinosis].
BACKGROUND
Trichinellosis is an anthropozoonosis caused by Trichinella spiralis. Central nervous system complications can occur during the course of this disease. This paper presents a case of neurotrichinellosis, assayed by using indirect immunofluorescence test.


METHODS
A patient aged 30, was admitted to the Clinic on the fifth day after onset of the disease, which was gradual, starting with flu-like symptoms. Two days before admittance, the diseased became somnolent, disconcerted and disoriented. On admission, the patient was highly febrile (39 degrees C), dehydrated, with eyelid edema. Right hemiparesis was present. The disease was confirmed by indirect immunofluorescence test, showing an increase of trichinella antibody titre (1:20, 1:160 and 1:640). The cerebrospinal fluid was cytobiochemically normal. Electroencephalographic findings exhibited a moderate cerebral dysfunction. Multifocal unspecific changes were established by magnetic tomography. The diseased was treated by mebendazole and prednisolone. The course of the disease was favourable and the patient was cured without sequelae.


CONCLUSIONS
Recognition and diagnosis of Trichinellosis are complicated due to its polymorphid symptomatology. In the case reviewed, the disease started with clinical features of flu-like symptoms and febrile gastroenteritis. According to some authors, central nervous system manifestations occurred in 10-15% of the diseased.


CONCLUSIONS
When examining clinically manifested encephalitis, Trichinelosis should be taken into consideration as a cause of the disease.
Knezević
K
K
Klinicki centar, Novi Sad.
Turkulov
V
V
Canak
G
G
Lalosević
V
V
Tomić
S
S
D000328:Adult; D020807:Central Nervous System Parasitic Infections / Q000175:diagnosis*; D006801:Humans; D008297:Male; D014235:Trichinellosis / Q000175:diagnosis*