Acute toxemic scnistosomiasis complicated by acute flaccid paraplegia due to schistosomal myeloradiculopathy in Sudan
Saudi Medical Journal. 2008; 29 (5): 770-773
em Inglês
| 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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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Paraplegia
/
Schistosoma mansoni
/
Imageamento por Ressonância Magnética
/
Doença Aguda
/
Neuroesquistossomose
Tipo de estudo:
Relato de Casos
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Saudi Med. J.
Ano de publicação:
2008
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