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Mansonic neuroschistosomiasis in the childhood: an undiagnosed pathology?
Patricia Alessandra Dastoli1, Marcos Devanir Silva da Costa2, Jardel Mendonça Nicácio2
1Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Rua Napoleão de Barros, 720, 6th floor, Sao Paulo, Brazil. paty.dastoli@uol.com.br.
Abstract:
Schistosomiasis is an endemic parasitic disease in several tropical countries. In Brazil, the only prevalent species of parasite responsible for schistosomiasis is Schistosoma mansoni. Neuroschistosomiasis is the second most frequent form of infection and the primary ectopic manifestation, with predominant involvement of the lower thoracic spinal cord and lumbar and lumbosacral regions. The frequent contact of children with contaminated ponds and the immaturity of their immune systems make this age group especially susceptible to infection by this parasite. Therefore, neuroschistosomiasis mansoni should always be considered in cases of transverse myelitis in children from endemic regions. The treatment for this condition is quite simple and effective, resulting in total recovery of neurological deficits if the diagnosis is made early.
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