Acute paraplegia due to schistosomiasis: an uncommon cause in developed countries
- 10 Downloads
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.
KeywordsAcute paraplegia Neuro-medullary schistosomiasis
- AC: managed the patient, wrote and designed the case report
- AG: made corrections, wrote and designed the case report
- CLJ: made corrections
- PP: made corrections
- TAS: made corrections and managed the patient
- NCC: made corrections and managed the patient
- FB and AP: performed microbiological investigations
- PR: managed the patient
- RP: managed the patient, wrote and designed the case report
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Consent to publish was obtained from the patient.
- Global Burden of Disease Study 2013 Collaborators (2015) Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 386:743–800CrossRefGoogle Scholar
- Lai Y-S, Biedermann P, Ekpo UF, Garba A, Mathieu E, Midzi N, Mwinzi P, N’Goran EK, Raso G, Assaré RK, Sacko M, Schur N, Talla I, Tchuenté LAT, Touré S, Winkler MS, Utzinger J, Vounatsou P (2015) Spatial distribution of schistosomiasis and treatment needs in sub-Saharan Africa: a systematic review and geostatistical analysis. Lancet Infect Dis 15:927–940CrossRefGoogle Scholar
- Saconato H, Atallah A (2000) Interventions for treating schistosomiasis mansoni. Cochrane Database Syst Rev:CD000528Google Scholar