Spinal Cord Schistosomiasis

Jaber, Omar; Kirby, Patricia

doi:10.1309/ajcpqr0elsaawjhw

Cited by 6 publications

(3 citation statements)

References 12 publications

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“…In contrast, S. haematobium and S. mansoni are considered the most common species that affect the spinal column, with clinical presentations ranging from radiculopathy to myelitis [6]. Globally, S. mansoni is the most common Schistosoma species affecting the spinal cord [7]. …”

Section: Discussionmentioning

confidence: 99%

Neuroschistosomiasis mimicking lower back pain: case report of a rare differential diagnosis in a pediatric patient

et al. 2018

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BackgroundSpinal myelitis is an infrequent manifestation of spinal cord infection. It is caused by the Schistosoma species, which are endemic in South America, part of the Middle East, and Africa.Case presentationWe report the case of a 13-year-old male adolescent complaining of progressive lower back pain and weakness of the lower extremities for 3 days. Initial magnetic resonance imaging revealed typical transverse myelitis. Subsequently, parasite serology showed a markedly elevated level of Schistosoma antibody titers, and cerebrospinal fluid analysis yielded normal results. Because of our presumptive diagnosis of neuroschistosomiasis, the patient was prescribed an empirical regimen of an anti-parasitic agent, after which his neurological deficit promptly subsided. The patient was followed for 1 year and showed a complete long-term resolution of symptoms.ConclusionsThis case highlights the increasing prevalence of neuroschistosomiasis in recent years, particularly in patients with a history of travel to endemic regions. Moreover, the study reports the clinicoradiological features of this enigmatic disorder. This rare occurrence potentiates further studies to address unanswered questions about neuroschistosomiasis.

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Section: Discussionmentioning

confidence: 99%

Neuroschistosomiasis mimicking lower back pain: case report of a rare differential diagnosis in a pediatric patient

et al. 2018

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“…[ 15 ] The diagnosis of schistosomiasis may be missed in countries where the disease is not endemic but should be considered when investigating spinal cord disease in patients’ native to an endemic area or international travelers. [ 16 ] It is also necessary to demonstrate the schistosomal infection and to exclude other causes of myelopathy. [ 17 ]…”

Section: Discussionmentioning

confidence: 99%

Spinal schistosomiasis: Cases in Egyptian population

Ashour

Elserry

Nosser

et al. 2018

J Craniovert Jun Spine

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“…10 2XWURV VLQWRPDV VmR IUDTXH]D GH 00,, DOWHUDo}HV GH UHÀH[RV profundos, disfunção da bexiga, constipação e impotência sexual. 3,12 O diagnóstico de neuroesquistossomose pode ser difícil, SRLV RV VLQWRPDV QHXUROyJLFRV VmR LQHVSHFt¿FRV 3 Níveis de anticorpos e a presença de ovos do parasita na urina e/ou fezes podem não ser detectáveis no início. 11 A busca de anticorpos contra antígenos do Schistosoma no soro apresenta limitações, FRPR UHDomR FUX]DGD FRP RXWURV DQWtJHQRV H GL¿FXOGDGH em se diferenciar infecção ativa de contato prévio, pois os anticorpos podem permanecer no soro por longos períodos após o tratamento.…”

Section: Z> Dk K ^Kunclassified

Mielorradiculopatia esquistossomótica

2015

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A esquistossomose é uma das doenças parasitárias mais comuns no mundo. É um importante problema de saúde pública. A neuroesquistossomose refere-se ao envolvimento do sistema nervoso central, que quando sintomática é grave, e o prognóstico depende do tratamento precoce. Paciente feminino, 20 anos, iniciou um quadro de dor intensa em região lombar, evoluindo após uma semana com paresia em membro inferior esquerdo e retenção vesical, seguida de paresia em membro inferior direito. Ressonância de coluna toraco-lombar evidenciou alteração de sinal envolvendo a medula espinhal, e espessamento no cone medular e em raízes da cauda eqüina. A sorologia para Esquistossomose foi positiva. Excluídos diagnósticos diferenciais, foi definido o diagnóstico presuntivo de Mielorradiculopatia esquistossomótica. A paciente respondeu satisfatoriamente ao tratamento com pulso de Metilprednisolona por cinco dias, Praziquantel em dose única e Prednisona em dose imunossupressora, com duração prevista para 6 meses. O reconhecimento de neuroesquistossomose é importante para que a terapêutica seja iniciada precocemente para evitar a deficiências graves. O caso relatado reforça a importância do conhecimento da mielorradiculopatia esquistossomótica, uma doença ainda subdiagnosticada no nosso meio.

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Spinal Cord Schistosomiasis

Abstract: The diagnosis of schistosomiasis may go undiagnosed in countries where the disease is not endemic but should be considered when investigating spinal cord disease in patients native to an endemic area or international travelers.

Cited by 6 publications

References 12 publications

Neuroschistosomiasis mimicking lower back pain: case report of a rare differential diagnosis in a pediatric patient

Neuroschistosomiasis mimicking lower back pain: case report of a rare differential diagnosis in a pediatric patient

Spinal schistosomiasis: Cases in Egyptian population

Mielorradiculopatia esquistossomótica

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