Acute paraplegia due to schistosomiasis: an uncommon cause in developed countries
| Autor: | Frederic Beubon, Nathalie Costedoat-Chalumeau, Aiham Ghazali, Peggy Reiner, Patrick Plaisance, Anthony Chauvin, Romain Paule, Tali Anne Szwebel, André Paugam, Claire Le Jeunne |
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| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Neurology Adolescent Schistosomiasis Spinal Cord Diseases Serology 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine Cerebrospinal fluid Virology medicine Humans Paraplegia Transients and Migrants medicine.diagnostic_test business.industry Developed Countries Magnetic resonance imaging Emergency department medicine.disease Conus medullaris 030104 developmental biology medicine.anatomical_structure Sphincter Guinea France Neurology (clinical) Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Journal of NeuroVirology. 25:434-437 |
| ISSN: | 1538-2443 1355-0284 |
| DOI: | 10.1007/s13365-018-0713-6 |
| Popis: | We present a case of a young African migrant from Guinea-Conakry presented to a French emergency department with burning pain in both feet for 2 days. The symptoms progressed to limb paraparesis with sphincter disorders. A magnetic resonance imaging (MRI) scan showed a hyperintense spinal cord lesion without contrast enhancement extending from the T6 vertebrae to the conus medullaris. Cerebrospinal fluid exam (CFE) showed an isolated hyperproteinorachia (0.61 g/l). Schistosomiasiss serology was positive and a rectal biopsy showed a schistosoma egg surrounded by an inflammatory reaction with granulomatosis. After steroid and antihelminthic therapy, accompanied by intensive physical therapy, the patient had an improved neurological neurological outcome. |
| Databáze: | OpenAIRE |
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