Medullary neuroschistosomiasis in adolescence: case report and literature review.

Autor: Dastoli PA; Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 720, 6th floor, Sao Paulo, Brazil. paty.dastoli@uol.com.br., Leite AL; Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 720, 6th floor, Sao Paulo, Brazil., da Costa MDS; Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 720, 6th floor, Sao Paulo, Brazil., Nicácio JM; Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 720, 6th floor, Sao Paulo, Brazil., Pinho RS; Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 720, 6th floor, Sao Paulo, Brazil., Ferrarini MAG; Department of Pediatrics, Universidade Federal de São Paulo, Rua Napoleão de Barros, 720, 9th floor, Sao Paulo, Brazil., Cavalheiro S; Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 720, 6th floor, Sao Paulo, Brazil.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2021 Sep; Vol. 37 (9), pp. 2735-2741. Date of Electronic Publication: 2021 Jun 24.
DOI: 10.1007/s00381-021-05267-9
Abstrakt: Introduction: Medullary neuroschistosomiasis is a severe complication of gastrointestinal infection by Schistosoma. There are several endemic areas, wherein the only causative species present is Schistosoma mansoni, which is responsible for the clinical manifestations of all cases in those areas.
Methods: We report the case of a 13-year-old female with lumbar pain and progressive lower limb weakness, with a delayed diagnosis of medullary involvement by the parasite. We also reviewed the literature on the disease.
Conclusions: Although it is related to the less severe forms of schistosomiasis, one should pay attention to the diagnosis of neuroschistosomiasis in cases of transverse myelitis in patients who traveled to endemic areas. The delay in diagnosis and, consequently, the introduction of treatment may result in irreversible neurological sequelae.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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