[Myelitis transversa caused by neuroschistosomiasis].
Ned Tijdschr Geneeskd. 2018 Could 03;162:
Authors: Machiels JD, Cobussen M, Bosboom RW, van Os NJH, Hageman ATM, Hassing R
BACKGROUND: Neuroschistosomiasis is a extreme complication of an an infection with Schistosoma; this an infection can result in myelitis transversa. Acute myelitis transversa is a uncommon dysfunction of the spinal wire, which may current with muscular weak point, sensory disturbance and intestinal or bladder dysfunction.
CASE DESCRIPTION: A 17-year-old refugee from Eritrea, who had been within the Netherlands for three weeks, suffered from again ache and progressive weak point of each legs for one week. Each the medical presentation and the MRI pictures have been according to myelitis transversa. Schistosomamansoni eggs have been discovered within the faeces, and antibodies to Schistosoma eggs and worms have been present in each liquor and serum, resulting in a prognosis of neuroschistosomiasis. The affected person recovered utterly following therapy with praziquantel and prednisone.
CONCLUSION: Schistosomiasis is a generally occurring parasitic illness in sub-Saharan Africa, which may result in myelitis transversa if it spreads to the spinal wire. Early detection and therapy are essential to forestall lasting injury. A very good geographical case historical past is crucial for this course of.
PMID: 30040277 [PubMed – in process]