title: [Myeloradiculitis due to Schistosoma haematobium: about an observation in Dakar (Senegal)].
abstract: Nervous localisations of schistosomiasis are rare. We report the case of a 25 year-old Senegalese patient admitted for a progressive myeloradiculitis onset, over a one week period. The diagnosis of Schistosoma haematobium myeloradiculitis was made in front of a positive serum serology for S. haematobium, presence of S. haematobium eggs in urine, hyperproteinorachia, endemicity of S. haematobium in the region where the patient was originating and a past medical history of macroscopic hematuria in a context of river bathing. There was also no arguments for another cause to these neurological manifestations. Our patient was treated with praziquantel, prednisone and physiotherapy. Evolution was marked 6 weeks after the beginning of treatment by a significant improvement of motor deficit, enabling the patient to walk again. There was also a regression of genitosphincter dysfunction. Work-up for patients presenting with paraplegia in tropical countries, should also include search for S. heamatobium infection.
authors.affiliation: Service de neurologie, CHU Fann, 5035, Dakar, Sénégal. abounadjma@yahoo.fr.
authors.forename: S
authors.initials: S
authors.lastname: Boubacar
authors.affiliation: Service de neurologie, CHU Fann, 5035, Dakar, Sénégal.
authors.forename: N S
authors.initials: NS
authors.lastname: Diagne
authors.affiliation: Service de neurologie, CHU Fann, 5035, Dakar, Sénégal.
authors.forename: D W
authors.initials: DW
authors.lastname: Ben Adji
authors.affiliation: Service de neurologie, CHU Fann, 5035, Dakar, Sénégal.
authors.forename: A M
authors.initials: AM
authors.lastname: Diop
authors.affiliation: Service des maladies infectieuses, CHU Fann, 5035, Dakar, Sénégal.
authors.forename: M
authors.initials: M
authors.lastname: Seydi
authors.affiliation: Service de neurologie, CHU Gabriel Touré, BP : 267, Bamako, Mali.
authors.forename: Y
authors.initials: Y
authors.lastname: Maiga
authors.affiliation: Service de neurologie, CHU Fann, 5035, Dakar, Sénégal.
authors.forename: K
authors.initials: K
authors.lastname: Toure
authors.affiliation: Service de neurologie, CHU Fann, 5035, Dakar, Sénégal.
authors.forename: M
authors.initials: M
authors.lastname: Ndiaye
authors.affiliation: Service de neurologie, CHU Fann, 5035, Dakar, Sénégal.
authors.forename: A G
authors.initials: AG
authors.lastname: Diop
authors.affiliation: Service de neurologie, CHU Fann, 5035, Dakar, Sénégal.
authors.forename: M M
authors.initials: MM
authors.lastname: Ndiaye
mesh_terms: D000328:Adult; D000818:Animals; D006801:Humans; D008297:Male; D020818:Neuroschistosomiasis / Q000188:drug therapy / Q000473:pathology* / Q000534:rehabilitation; D026741:Physical Therapy Modalities; D011223:Praziquantel / Q000008:administration & dosage; D011241:Prednisone / Q000008:administration & dosage; D012548:Schistosoma haematobium / Q000302:isolation & purification / Q000502:physiology*; D012553:Schistosomiasis haematobia / Q000150:complications / Q000188:drug therapy / Q000473:pathology* / Q000534:rehabilitation; D012675:Senegal
chemical_list: D011223:Praziquantel; D011241:Prednisone
keywords: Clinics; Dakar; Diagnostic; Hospital; Kaffrine; Myeloradiculitis; Schistosoma haematobium; Senegal; Sub-Saharan Africa; Therapeutic