Spinal schistosomiasis mimickingspinal tumour: a case report.

Autor:	Molla YD; Department of Surgery School of Medicine College of Medicine and Health Sciences University of Gondar., Alemu HT; University of Gondar, College of Medicine and Health Sciences, Gondar, Ethiopia., Zegeye KB; Pathology., Answar IO; Pathology., Abera SA; Pathology., Adisu GD; Pathology., Kassie DA; Department of Surgery School of Medicine College of Medicine and Health Sciences University of Gondar., Selamawi AE; Radiology., Tefera EA; Department of Surgery School of Medicine College of Medicine and Health Sciences University of Gondar.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 Apr 09; Vol. 86 (5), pp. 3169-3174. Date of Electronic Publication: 2024 Apr 09 (Print Publication: 2024).
DOI:	10.1097/MS9.0000000000002008
Abstrakt:	Introduction and Importance: Schistosomiasis, a parasitic disease, is caused by blood flukes from the schistosoma genus. Neuroschistosomiasis is the most severe form of schistosomiasis, which occurs when the host's brain and spinal cord react to the deposition of eggs, leading to neurological symptoms. Neuroschistosomiasis causes various signs and symptoms, such as myelopathy, radiculopathy, and elevated intracranial pressure. Case Presentation: A 12-year-old child from Ethiopia who presented with progressive weakness in his lower extremities that has been ongoing for 2 months. Alongside the weakness, the patient also experienced tingling sensations and numbness in his lower extremities. Additionally, he had bladder and bowel incontinence. Spinal MRI showed signs suggestive of myxopapillary ependymoma, but the histopathology result showed schistosomiasis. Postoperatively, the patient had a slight improvement in terms of lower extremity weakness (flickering of the digits). However, there was no improvement in his continence ability. Clinical Discussion: The most common neurological manifestation of Schistosoma mansoni infection is myelopathy, which includes subacute myeloradiculopathy and acute transverse myelitis. The cauda equina and conus medullaris are the areas most frequently affected. Conclusion: When spinal schistosomiasis presents itself as a mimicking spinal tumour, it poses a complex clinical challenge that necessitates a comprehensive interdisciplinary approach to ensure accurate diagnosis and effective treatment. It is imperative for healthcare practitioners to enhance their knowledge and awareness of this uncommon parasitic infection, particularly in regions where it is prevalent. Competing Interests: No potential conflict of interest relevant to this article was reported.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu