Acute neuroschistosomiasis: two cases associated with cerebral vasculitis.
Encephalitis and focal neurologic deficits can occur during the acute phase of schistosomiasis. We report two cases in which cerebral imaging showed cerebral vasculitis located in arterial junctional territories. These neurologic complications may be caused by eosinophil-mediated toxicity. Immediate treatment should consist of corticosteroids rather than specific antischistosomal drugs, which may aggravate the disorders.
Jauréguiberry
Stéphane
S
Department of Infectious and Tropical Disease, Hôpital Tenon, Assistance Publique Hopitaux de Paris, Paris, France. stephane.jaureguiberry@tnn.aphp.fr
Ansart
Séverine
S
Perez
Lucia
L
Danis
Martin
M
Bricaire
François
F
Caumes
Eric
E
D000328:Adult; D000818:Animals; D000909:Antibodies, Helminth / Q000097:blood; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D020818:Neuroschistosomiasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D011859:Radiography; D012548:Schistosoma haematobium / Q000302:isolation & purification / Q000472:pathogenicity*; D016896:Treatment Outcome; D020293:Vasculitis, Central Nervous System / Q000000981:diagnostic imaging / Q000209:etiology* / Q000469:parasitology / Q000503:physiopathology
D000909:Antibodies, Helminth