[Acute meningomyelitis and polyradiculoneuritis disclosing systemic lupus erythematosus].
A 25-year-old male presented purulent meningitis associated with transverse myelitis. Spinal T2-weighted MRI showed a large spinal cord with an intramedullary high signal. Infection resolved with antibiotic therapy but spastic paraplegia persisted. Four months later, he developed a Guillain-Barré syndrome with clinical and biological signs of systemic lupus erythematosus. Final outcome was fatal despite corticosteroid and immunoglobulin treatment.
Mouti
O
O
Service de Neurologie, Rabat, Maroc.
Harmouch
H
H
El Alaoui Faris
M
M
Birouk
N
N
Kabbaj
S
S
Aidi
S
S
Jiddane
M
M
Maazouzi
W
W
Chkili
T
T
D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis*; D008581:Meningitis / Q000209:etiology*; D009187:Myelitis / Q000209:etiology*; D011129:Polyradiculoneuropathy / Q000209:etiology*
Méningomyélite et polyradiculonévrite aiguës révélant un lupus érythémateux disséminé