The clinical presentation of ascariasis depends on the intensity of infection and the organs involved.  Although most individuals are asymptomatic, few can present acutely with intestinal obstruction and extra-intestinal complications.  Extra-intestinal complications can involve the pulmonary, hepato-biliary, renal and central nervous systems. [1-3] Encephalopathy as a presenting feature of ascariasis is unusual and rarely described.

We encounter an 8-year-old girl with severe acute malnutrition with a rare presentation of encephalitis with multiple episodes of convulsion because of heavy infestation with roundworms