[Sciatica after return from Mali: case report of schistosomal myelopathy]
P Poirier1, P Brugières, M Liance
1Service de Parasitologie-Mycologie, CHU Gabriel Montpied, Clermont-Ferrand, France.
Medecine Tropicale : Revue Du Corps De Sante Colonial
|August 26, 2009
Summary
Neuroschistosomiasis is a rare complication of schistosomiasis, presenting with neurological symptoms like myelopathy. Early diagnosis and specific treatment are crucial for managing this serious condition.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Schistosomiasis is prevalent in Mali, yet neurological complications are infrequently reported.
- This case highlights a rare instance of medullary schistosomiasis.
Observation:
- A 29-year-old male presented with low back pain, difficulty walking, and dysesthesia.
- Symptoms appeared five months after treatment for schistosomiasis contracted in Mali.
- Radiological and laboratory findings confirmed schistosomal myelopathy.
Findings:
- Neuroschistosomiasis is a severe complication requiring definitive parasite identification and differential diagnosis.
- Treatment involves antiparasitic agents and corticosteroids, initiated only after larval maturation.
Implications:
- Emphasizes the importance of considering neuroschistosomiasis in patients with neurological deficits and a history of schistosomiasis.
- Highlights the need for timely and appropriate treatment strategies for schistosomal myelopathy.
