[Acute encephalitis concurrent with primary infection by Schistosoma mansoni].
A 24-year-old man returning from a trip to Mali was hospitalized for acute encephalitis and fever in association with acute primary infection by Schistosomiasis mansoni. Bilharziasis was suspected from the epidemiological context and presence of eosinophilia. Diagnosis was confirmed by serological testing. Specific treatment using praziquantel and corticotherapy was successful. Central nervous system involvement attributable to embolization of eggs or ectopic migration of adult worms has been reported in association with chronic Schistosomiasis by S. japonicum or S. mansoni. There have been few reports of acute neuroschistosomiais during the acute primary phase of infestation by S. mansoni. Etiology probably involves immunoallergic mechanisms.
Granier
H
H
Service de médecine interne et maladies infectieuses et tropicales, Hôpital d'Instruction des Armées Clermont Tonnerre, 29240 Brest Naval, France. rvfrgranier@aol.com
Potard
M
M
Diraison
P
P
Nicolas
X
X
Laborde
J P
JP
Talarmin
F
F
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D000909:Antibodies, Helminth / Q000097:blood; D004660:Encephalitis / Q000469:parasitology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008302:Mali; D011223:Praziquantel / Q000627:therapeutic use; D012550:Schistosoma mansoni / Q000276:immunology; D012555:Schistosomiasis mansoni / Q000175:diagnosis* / Q000188:drug therapy; D014195:Travel
D000305:Adrenal Cortex Hormones; D000871:Anthelmintics; D000909:Antibodies, Helminth; D011223:Praziquantel