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Mass Isolation and In Vitro Cultivation of Intramolluscan Stages of the Human Blood Fluke Schistosoma Mansoni
Published on: January 14, 2018
Mansonic neuroschistosomiasis
Abstract:
Mansonic neuroschistosomiasis (MN) is not only the most common but also the most serious ectopic presentation of the infection by Schistosoma mansoni. Both, brain and spinal cord can be independently affected by the infection, but the later is more frequently affected. Brain MN by itself is due to the presence of eggs and/or adult worms in situ and can be symptomatic or asymptomatic. Unlike the brain MN, spinal cord mansonic neuroschistosomiasis is more frequently symptomatic. In both forms the intensity, the seriousness and also the clinical characteristics of signs and symptoms depend on the amount of eggs in the compromised region and on the intensity of the inflammatory reaction surrounding the eggs. Cerebrospinal fluid examination and magnetic resonance imaging are important diagnostic tools. Both corticosteroids and drugs against S. mansoni are used in the treatment. The outcome may largely depend upon the prompt use of these drugs.
Insights
Mansonic neuroschistosomiasis (MN), a severe complication of Schistosoma mansoni infection, frequently affects the spinal cord. Prompt diagnosis and treatment with corticosteroids and antiparasitic drugs are crucial for better outcomes.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Mansonic neuroschistosomiasis (MN) is the most common and severe ectopic manifestation of Schistosoma mansoni infection.
- Both the brain and spinal cord can be affected, with spinal cord involvement being more frequent.
Purpose of the Study:
- To describe the clinical presentation, diagnosis, and treatment of Mansonic neuroschistosomiasis.
- To highlight the importance of early intervention in managing this parasitic neurological disease.
Main Methods:
- Review of clinical cases and diagnostic findings.
- Analysis of treatment strategies including corticosteroids and antiparasitic drugs.
Main Results:
- Spinal cord MN is more frequently symptomatic than brain MN.
- Symptom severity correlates with egg burden and inflammatory response.
- Cerebrospinal fluid examination and MRI are key diagnostic tools.
Conclusions:
- Early diagnosis and prompt treatment are essential for favorable outcomes in Mansonic neuroschistosomiasis.
- Combined therapy with corticosteroids and antiparasitic agents is the standard treatment approach.
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