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January 1966

TrichinosisHemiplegia and Liver Involvement

Author Affiliations


From the Department of Medicine, St. Francis General Hospital, Pittsburgh.

Arch Intern Med. 1966;117(1):108-112. doi:10.1001/archinte.1966.03870070122019

TRICHINOSIS is quite variable in its manifestations; this is particularly true of those cases with nervous system involvement. Reports of cases manifesting focal damage in the central nervous system are rare.1 Rarer still are reports or discussions of hepatic involvement. To our knowledge, only seven cases with liver function studies have been previously reported (Table).

We wish to report two cases of trichinosis, in a mother and her son.* The illness in the mother manifested itself almost entirely as a neurological disease. Both patients had evidence of liver involvement.

Report of Cases 

Case 1.  —Patient A, a 39-year-old white housewife, was admitted to the hospital with the chief complaints of weakness and paralysis. Three weeks prior to admission she developed fever, headache, nausea, and subsequently progressive weakness of the left arm and leg. There was no history of diarrhea or muscular pains. No further information could be obtained from

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