Abstract
A 55-year old Sudanese physician presented with one month history of diarrhea, loss of weight 10 kg and low grade nocturnal fever. Following colonoscopy, he rapidly developed paraparesis and retention of urine. Magnetic resonance imaging (MRI) of the spinal cord showed low cord lesion suggestive of transverse myelitis. We present a detailed account of diagnostic and management challenges and a literature review of the final diagnosis of acute toxemic schistosomiasis, complicated by acute flaccid paraplegia due to schistosomal myeloradiculopathy. We are reporting this case to increase the awareness of physicians of schistosomal myeloradiculopathy, as it needs urgent specific treatment praziquantel and steroids. An early follow-up with MRI of the spinal cord 2 weeks treatment may help in preventing unnecessary neurosurgical intervention. Bilharziasis may be contracted on the banks of river White Nile in urban areas. Finally clinicians should make use of the Google search for diagnosis in difficult cases. (author)
Ahmed, Abdelmonim F;
[1]
Kareem, Abid M;
[2]
Dawoud, Talal A;
[3]
Idris, Abdelrehman S
[4]
- Dept. of Medicine, Faculty of Medicine, Taibah Univ., Al-Madinah Al-Munwarah (Saudi Arabia)
- Dept. of Gastroenterology, King Fahd Hospital, Al- Madinah Al-Munwarah (Saudi Arabia)
- Dept. of Neurology, King Fahd Hospital, Al-Madinah Al-Munawarh (Saudi Arabia)
- Dept. of Neurology, Hiraa Hospital, Mecca (Saudi Arabia)
Citation Formats
Ahmed, Abdelmonim F, Kareem, Abid M, Dawoud, Talal A, and Idris, Abdelrehman S.
Acute toxemic schistosomiasis complicated by a acute flaccid paraplegia due to schistosomal myeloradiculopathy in Sudan.
Saudi Arabia: N. p.,
2008.
Web.
Ahmed, Abdelmonim F, Kareem, Abid M, Dawoud, Talal A, & Idris, Abdelrehman S.
Acute toxemic schistosomiasis complicated by a acute flaccid paraplegia due to schistosomal myeloradiculopathy in Sudan.
Saudi Arabia.
Ahmed, Abdelmonim F, Kareem, Abid M, Dawoud, Talal A, and Idris, Abdelrehman S.
2008.
"Acute toxemic schistosomiasis complicated by a acute flaccid paraplegia due to schistosomal myeloradiculopathy in Sudan."
Saudi Arabia.
@misc{etde_21312963,
title = {Acute toxemic schistosomiasis complicated by a acute flaccid paraplegia due to schistosomal myeloradiculopathy in Sudan}
author = {Ahmed, Abdelmonim F, Kareem, Abid M, Dawoud, Talal A, and Idris, Abdelrehman S}
abstractNote = {A 55-year old Sudanese physician presented with one month history of diarrhea, loss of weight 10 kg and low grade nocturnal fever. Following colonoscopy, he rapidly developed paraparesis and retention of urine. Magnetic resonance imaging (MRI) of the spinal cord showed low cord lesion suggestive of transverse myelitis. We present a detailed account of diagnostic and management challenges and a literature review of the final diagnosis of acute toxemic schistosomiasis, complicated by acute flaccid paraplegia due to schistosomal myeloradiculopathy. We are reporting this case to increase the awareness of physicians of schistosomal myeloradiculopathy, as it needs urgent specific treatment praziquantel and steroids. An early follow-up with MRI of the spinal cord 2 weeks treatment may help in preventing unnecessary neurosurgical intervention. Bilharziasis may be contracted on the banks of river White Nile in urban areas. Finally clinicians should make use of the Google search for diagnosis in difficult cases. (author)}
journal = []
issue = {5}
volume = {29}
place = {Saudi Arabia}
year = {2008}
month = {Jul}
}
title = {Acute toxemic schistosomiasis complicated by a acute flaccid paraplegia due to schistosomal myeloradiculopathy in Sudan}
author = {Ahmed, Abdelmonim F, Kareem, Abid M, Dawoud, Talal A, and Idris, Abdelrehman S}
abstractNote = {A 55-year old Sudanese physician presented with one month history of diarrhea, loss of weight 10 kg and low grade nocturnal fever. Following colonoscopy, he rapidly developed paraparesis and retention of urine. Magnetic resonance imaging (MRI) of the spinal cord showed low cord lesion suggestive of transverse myelitis. We present a detailed account of diagnostic and management challenges and a literature review of the final diagnosis of acute toxemic schistosomiasis, complicated by acute flaccid paraplegia due to schistosomal myeloradiculopathy. We are reporting this case to increase the awareness of physicians of schistosomal myeloradiculopathy, as it needs urgent specific treatment praziquantel and steroids. An early follow-up with MRI of the spinal cord 2 weeks treatment may help in preventing unnecessary neurosurgical intervention. Bilharziasis may be contracted on the banks of river White Nile in urban areas. Finally clinicians should make use of the Google search for diagnosis in difficult cases. (author)}
journal = []
issue = {5}
volume = {29}
place = {Saudi Arabia}
year = {2008}
month = {Jul}
}