Trichiniasis has been known to involve the central nervous system since 1906, when Frothingham1 first demonstrated the larvae of Trichinella spiralis in a human brain. Since that time 24 cases have been reported in which the central nervous system has been definitely involved. In spite of this ever increasing evidence, the fact that the larvae do invade the central nervous system and cause symptoms is not generally appreciated. Textbooks rarely mention it.
Recently I had the privilege of observing and following a case of encephalitis due to trichiniasis, with recovery. Larvae were isolated from the spinal fluid. This case is reported in detail, with a brief review of the literature.
REPORT OF CASE
—L. T., a white man aged 25 years, was admitted to the contagious division of the University Hospital on April 4, 1938, in a comatose state. The history, as obtained from relatives, was that the
EVERS LB. MANIFESTATIONS OF TRICHINIASIS IN THE CENTRAL NERVOUS SYSTEMREPORT OF A CASE WITH LARVAE IN THE SPINAL FLUID. Arch Intern Med (Chic). 1939;63(5):949–956. doi:10.1001/archinte.1939.00180220139013
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