Neurotrichinosis in a Pediatric Patient

Obstrucción intestinal por ascaridiasis

“…Las principales manifestaciones clínicas destacan el dolor abdominal, meteorismo, fiebre y en ocasiones la expulsión de los áscaris por el recto o boca, en casos de obstrucción intestinal el cuadro clínico es de instalación brusca debido a la oclusión intestinal parcial o total debido a la formación de un ovillo intraluminal de helmintos [8,9].…”

“…Los estudios complementarios reportan una eosinofilia periférica de 5 a un 12 % en el período sintomático temprano, la radiografía simple de abdomen puede mostrar la acumulación de áscaris adultos formando un ovillo, y en la ecografía evidenciarse estructuras tubulares ecogénicas intestinales y a nivel del examen directo de heces la presencia de huevos de áscaris [2,8].…”

Central Nervous System Involvement in Trichinellosis: A Systematic Review

“…A brain MRI was reported in 14 patients. Most authors reported the presence of high signal lesions in the T2 weighted sequences, located in the white matter [20,87,94,97,98,101,102,105,106]. In T1 sequences, patients presented a slight signal increase [97] or hypointense lesions [101].…”

“…Interestingly, some papers reported that the lesions were situated in the border zones of distal fields of major cerebral arteries [97,98,105,106]. Although most of the lesions were reported to be in the white brain matter, the MRI scans also detected lesions at the white matter and grey matter interface, in the cortex [102], cerebellum [98,101,105,106], and thalamus [106]. Furthermore, McDonald et al [101] observed that the lesions were distributed mainly in the frontal and parietal lobes, with fewer lesions in the temporal and occipital lobes and cerebellum.…”