A cross sectional study of intestinal helminthiasis among school pupils was undertaken in three primary schools in Ilie in Olorunda Local Government Area of Osun state in order to determine the prevalence and intensity of helminthic infections. The relationship between intestinal helminths and anthropometric indices and the factors that could favour the infection were also studied. Faecal samples from three hundred and four (304) randomly selected out of the four hundred and seven (407) school children in the study area were collected and analysed with the semi-quantitative Kato Katz technique and concentrated method. The intensity of infection was classified into light, moderate or high according to World Health Organisation (WHO) thresholds. The overall prevalence rate was 52.0% while five species of intestinal helminths were identified. Ascaris lumbricoides (36.2%) was the most common, followed by Hookworm (10.5%), Schistosoma mansoni (4%), Strongyloides stercoralis (0.7%) and Hymenolepis nana (0.7%). Multiple helminthic infection were recorded with Ascaris-Hookworm (6.58%) having the highest prevalence among the children. Female (56.6%) were more infected than male (46.4%) and the difference was statistically significant (P=0.0019). Seventeen percent (17%) of the children were below the third percentile for weight (wasted) while fourteen percent (14%) were below the third percentile for height (stunted). There was a relationship between intensity of infection and wasting since there were fewer underweight pupils (13%) with normal stool than those moderately infected (35%) (P<0.05). There was statistically significant association between type of latrine use and prevalence of infection; and also between water treatment and infection. Periodic surveillance of school children for intestinal helminthiasis should be part of the public health activities while periodic deworming programme should be done routinely as this would reduce intensity of intestinal worm infection among school children.

Cerebrovascular accident (CVA) is a rare neurological complication of diabetic ketoacidosis (DKA) in the paediatric population. The risk of developing CVA in DKA patients is often increased due to abnormalities in coagulation factors, platelet activation, blood volume and flow, and vascular reactivity. Cerebral oedema, the most common neurological complication of DKA, may also predispose to CVA. We report the case of a -12-year-old adolescent with DKA complicated by CVA. She developed features of right hemispheric CVA while on admission and had radiological confirmation of an ischaemic CVA. This report highlights that cerebrovascular accidents in DKA can easily be missed or confused with cerebral oedema.