Abstract
Dear Editor:
I read the recent publication on neurological manifestation of trichinellosis with a great interest (Neghina et al., 2010). Neghina et al. (2010) concluded that “trichinellosis must be considered in the differential diagnosis of any patient with encephalitis or other central nervous system malady of ambiguous etiology.” I agree that trichinellosis can have neurological manifestation, but the described manifestations in this study might not be classified as actual encephalitis due to the pathogen. The classical signs of encephalitis such as headache, fever, alteration of consciousness, and seizure are not usually well described in neurological trichinellosis. Generally, the encephalitis in trichinellosis is usually a complication detected in indexed cases and is actually a case of meningoencephalitis but not a pure encephalitis (Knezević et al., 2001).