SCHISTOSOMAL MYELORADICULOPATHY IN A NON-ENDEMIC AREA
ABSTRACT Objective: To report a schistosomal myeloradiculopathy case in a non-endemic area. Case description: A previously healthy 11-year-old boy, stricken by an acute loss of strength on his lower limbs, followed by a loss of strength on his upper limbs and upper body, associated with altered se...
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| Format: | Article |
| Language: | English |
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Sociedade de Pediatria de São Paulo
2020-01-01
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| Series: | Revista Paulista de Pediatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100604&tlng=pt |
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| author | Lívia Souza de Oliveira Gabriela de Sio Puetter Kuzma Luisa Carolina Vinhal Costa Paulo Ramos David João |
| author_facet | Lívia Souza de Oliveira Gabriela de Sio Puetter Kuzma Luisa Carolina Vinhal Costa Paulo Ramos David João |
| author_sort | Lívia Souza de Oliveira |
| collection | DOAJ |
| description | ABSTRACT Objective: To report a schistosomal myeloradiculopathy case in a non-endemic area. Case description: A previously healthy 11-year-old boy, stricken by an acute loss of strength on his lower limbs, followed by a loss of strength on his upper limbs and upper body, associated with altered sensitivity of the vesical globe formation. The patient’s cerebrospinal fluid analysis showed eosinophilic meningitis, in addition to peripheral eosinophilia. The investigation resulted in a positive serology for Schistosoma mansoni. The treatment included steroids and praziquantel 60mg/kg, with a new dose after a month, as well as physical therapy for rehabilitation. The patient evolved with clinical improvement in the neurological exam, with a medullary section initially at C6, but now at T6. The patient is kept at prednisolone use (30mg/day) and longterm urinary catheter dependence. Comments: The schistosomiasis is endemic in many regions of Brazil; however, it has low incidence in the south of the country. Among its main manifestations, the schistosomal myeloradiculopathy is the most severe ectopic form of the disease, and should be suspected in patients with low back pain, strength and/or sensibility disorder of the lower limbs or urinary tract’s disturbance. Early diagnosis and treatment should be done in order to reduce severe neurological sequelae. Treatment includes schistosomiasis drugs, corticosteroids and/or surgery. |
| first_indexed | 2024-12-13T15:22:31Z |
| format | Article |
| id | doaj.art-ae3a0bd9d4894d04b1c959b021e22748 |
| institution | Directory Open Access Journal |
| issn | 1984-0462 |
| language | English |
| last_indexed | 2024-12-13T15:22:31Z |
| publishDate | 2020-01-01 |
| publisher | Sociedade de Pediatria de São Paulo |
| record_format | Article |
| series | Revista Paulista de Pediatria |
| spelling | doaj.art-ae3a0bd9d4894d04b1c959b021e227482022-12-21T23:40:32ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622020-01-013810.1590/1984-0462/2020/38/2018232SCHISTOSOMAL MYELORADICULOPATHY IN A NON-ENDEMIC AREALívia Souza de Oliveirahttps://orcid.org/0000-0003-2099-2927Gabriela de Sio Puetter Kuzmahttps://orcid.org/0000-0003-4287-4278Luisa Carolina Vinhal Costahttps://orcid.org/0000-0003-2949-4529Paulo Ramos David Joãohttps://orcid.org/0000-0002-2478-7886ABSTRACT Objective: To report a schistosomal myeloradiculopathy case in a non-endemic area. Case description: A previously healthy 11-year-old boy, stricken by an acute loss of strength on his lower limbs, followed by a loss of strength on his upper limbs and upper body, associated with altered sensitivity of the vesical globe formation. The patient’s cerebrospinal fluid analysis showed eosinophilic meningitis, in addition to peripheral eosinophilia. The investigation resulted in a positive serology for Schistosoma mansoni. The treatment included steroids and praziquantel 60mg/kg, with a new dose after a month, as well as physical therapy for rehabilitation. The patient evolved with clinical improvement in the neurological exam, with a medullary section initially at C6, but now at T6. The patient is kept at prednisolone use (30mg/day) and longterm urinary catheter dependence. Comments: The schistosomiasis is endemic in many regions of Brazil; however, it has low incidence in the south of the country. Among its main manifestations, the schistosomal myeloradiculopathy is the most severe ectopic form of the disease, and should be suspected in patients with low back pain, strength and/or sensibility disorder of the lower limbs or urinary tract’s disturbance. Early diagnosis and treatment should be done in order to reduce severe neurological sequelae. Treatment includes schistosomiasis drugs, corticosteroids and/or surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100604&tlng=ptSchistosomiasis mansoniNeuroschistosomiasisMyelitisAdolescent |
| spellingShingle | Lívia Souza de Oliveira Gabriela de Sio Puetter Kuzma Luisa Carolina Vinhal Costa Paulo Ramos David João SCHISTOSOMAL MYELORADICULOPATHY IN A NON-ENDEMIC AREA Revista Paulista de Pediatria Schistosomiasis mansoni Neuroschistosomiasis Myelitis Adolescent |
| title | SCHISTOSOMAL MYELORADICULOPATHY IN A NON-ENDEMIC AREA |
| title_full | SCHISTOSOMAL MYELORADICULOPATHY IN A NON-ENDEMIC AREA |
| title_fullStr | SCHISTOSOMAL MYELORADICULOPATHY IN A NON-ENDEMIC AREA |
| title_full_unstemmed | SCHISTOSOMAL MYELORADICULOPATHY IN A NON-ENDEMIC AREA |
| title_short | SCHISTOSOMAL MYELORADICULOPATHY IN A NON-ENDEMIC AREA |
| title_sort | schistosomal myeloradiculopathy in a non endemic area |
| topic | Schistosomiasis mansoni Neuroschistosomiasis Myelitis Adolescent |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100604&tlng=pt |
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