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Acute toxemic scnistosomiasis complicated by acute flaccid paraplegia due to schistosomal myeloradiculopathy in Sudan
Saudi Medical Journal. 2008; 29 (5): 770-773
Dans Anglais | IMEMR | ID: emr-90191
ABSTRACT
A 55-year old Sudanese physician presented with one month history of diarrhea, loss of weight 10kg and low grade nocturnal fever. Following colonoscopy, he rapidly developed paraparesis and retention of urine. Magnetic resonance imaging MRI of the spinal cord showed low cord lesion suggestive of transverse myelitis. We present a detailed account of diagnostic and management challenges and a literature review of the final diagnosis of acute toxemic schistosomiasis, complicated by acute flaccid paraplegia due to schistosomal myeloradiculopathy. We are reporting this case to increase the awareness of physicians of schistosomal myeloradiculopathy, as it needs urgent specific treatment praziquantel and steroids. An early follow-up with MRI of the spinal cord 2 weeks treatment may help in preventing unnecessary neurosurgical intervention. Bilharziasis may be contracted on the banks of the river "White Nile" in urban areas. Finally, clinicians should make use of the Google computer search for diagnosis in difficult cases
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Indice: Méditerranée orientale Sujet Principal: Paraplégie / Schistosoma mansoni / Imagerie par résonance magnétique / Maladie aigüe / Schistosomiase du système nerveux central Type d'étude: Enquête cas-témoins / Études cas/témoins Limites du sujet: Humains / Mâle langue: Anglais Texte intégral: Saudi Med. J. Année: 2008

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Recherche sur Google
Indice: Méditerranée orientale Sujet Principal: Paraplégie / Schistosoma mansoni / Imagerie par résonance magnétique / Maladie aigüe / Schistosomiase du système nerveux central Type d'étude: Enquête cas-témoins / Études cas/témoins Limites du sujet: Humains / Mâle langue: Anglais Texte intégral: Saudi Med. J. Année: 2008