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NEUROLOGY 1976;26:37
© 1976 American Academy of Neurology

Trichinosis

Severe myopathic involvement with recovery

MICHAEL J. DAVIS, M.D., MARK CILO, M.D., ANDREAS PLAITAKIS, M.D. and MELVIN D. YAHR, M.D.

From the Department of Neurology, Mount Sinai Medical School, City University of New York, and the Neurological Service, Mount Sinai Hospital, New York.

A case of clinically severe trichinosis following ingestion of commercially prepared pickled pigs' feet is reported. An unusual finding on muscle biopsy was a larval count of 4,046 per gram of muscle, the second highest density of muscle invasion recorded to date. Survival has not been reported previously in patients with greater than 1,000 trichinae per gram of muscle. Complete symptomatic recovery followed combined corticosteroid and thiabendazole administration.

Requests for reprints should be addressed to Dr. Yahr, Chairman, Department of Neurology, Mt. Sinai Hospital, 100th Street and Fifth Avenue, New York, NY 10029.

Dr. Michael J. Davis was a trainee supported by Public Health Service grant 5TO1NS-05072.

Received for publication June 23, 1975.







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