[Trypanosomiasis presenting with trypanids and complicated by myopericarditis (author's transl)].
In a 26-year-old man who had spent time in a trypanosome endemic zone, lesions of erythema marginatum progressing by acute exacerbations for 2 years despite various forms of treatment led to the discovery of a multiple lymphadenopathy and a greatly accelerated sedimentation rate. These findings suggested a diagnosis which was confirmed by the discovery of Trypanosoma gambiense in the blood and lymph node aspirate. In addition, there was an albumino-lymphocytic reaction in the cerebrospinal fluid. Finally, an atrioventricular block was discovered. All these symptoms and signs responsed to treatment with melarsoprol but a pericardial reaction developed, possibly of immunoallergic origin.
D000328:Adult; D000418:Albumins / Q000134:cerebrospinal fluid; D001799:Blood Sedimentation; D004892:Erythema Multiforme; D006327:Heart Block / Q000188:drug therapy; D006801:Humans; D008214:Lymphocytes; D008297:Male; D008549:Melarsoprol / Q000009:adverse effects / Q000627:therapeutic use; D009205:Myocarditis / Q000209:etiology*; D010493:Pericarditis / Q000209:etiology*; D014353:Trypanosomiasis, African / Q000150:complications / Q000175:diagnosis*
D000418:Albumins; D008549:Melarsoprol
Trypanosomiase révélée par des trypanides et compliquée de myopéricardite.