[A new case of acute transverse myelitis following hepatitis A virus infection].
Transverse myelitis is a rare manifestation of hepatitis A virus infection. We report the case of an eleven-year-old girl who presented a progressive flabby paraplegia with sphincter incontinence, superficial hypoesthesia, without deep involvement. Medullar MRI was suggestive of myelitis. Despite the absence of jaundice and hepatic cytolysis, the serology yielded a high rate of anti-hepatitis A immunoglobulin M. Neurological disorders disappeared within 15 days, after treating with a high dose of corticosteroids and physical rehabilitation. 24 months later she was asymptomatic. Screening for hepatitis A virus infection in patients with acute transverse myelitis should be indicated specially in endemic countries were vaccinal prophylaxis is not common practice.
Khemiri
M
M
Service de Médecine Infantile A, Hôpital d'Enfants de Tunis, Tunis, Tunisie. monia.khemiri@rns.tn
Ouederni
M
M
Barsaoui
S
S
D000914:Antibodies, Viral / Q000097:blood; D002648:Child; D005260:Female; D006506:Hepatitis A / Q000150:complications*; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D008279:Magnetic Resonance Imaging; D009188:Myelitis, Transverse / Q000209:etiology*; D016133:Polymerase Chain Reaction
D000914:Antibodies, Viral; D007075:Immunoglobulin M