Esquistossomose aguda com comprometimento cerebral: relato de caso

Urban, Cı́cero de Andrade; Piovesan, Élcio Juliato; Almeida, Sérgio Monteiro de; Kowacs, Pedro André; Minguetti, Guilberto; Werneck, Lineü Cesar

doi:10.1590/s0004-282x1996000400021

Cited by 8 publications

(4 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Neurological symptoms over the course of acute schistosomiasis are frequently accompanied by fever and eosinophilia (Wood et al 1976, Urban et al 1996. Patients may become confused, develop focal or generalised seizures or become stuporose.…”

Section: Pyogenic Liver Abscessesmentioning

confidence: 99%

Acute schistosomiasis mansoni: revisited and reconsidered

Lambertucci

2010

Mem. Inst. Oswaldo Cruz

101

118

View full text Add to dashboard Cite

Section: Pyogenic Liver Abscessesmentioning

confidence: 99%

Acute schistosomiasis mansoni: revisited and reconsidered

Lambertucci

2010

Mem. Inst. Oswaldo Cruz

101

118

View full text Add to dashboard Cite

“…Most patients recover after 2-10 weeks, whereas some develop serious disease with weight loss, dyspnea, chest pain, diarrhea, diffuse abdominal pain, splenomegaly, hepatomegaly with elevation of hepatic enzymes, restrictive respiratory insufficiency and generalized rash 4 , 7 , 16. The central nervous system involvement of AS may occur as meningoencephalitis or myelitis 17…”

Section: Discussionmentioning

confidence: 99%

Schistosomiasis: a case of severe infection with fatal outcome intensive care settings: case report and evidence-based literature review

Ferreira¹,

Campos²,

Ramos³

et al. 2012

ACR

View full text Add to dashboard Cite

Schistosomiasis is one of the most common parasitic diseases, still considered of public health significance. Acute schistosomiasis is of difficult diagnosis and therefore has been overlooked, misdiagnosed, underestimated and underreported in endemic areas. The delay between the exposure to contaminated water and the initial symptoms may explain this challenging diagnosis. Acute schistosomiasis is frequently reported in non-immune individuals while reinfection cases occurring in endemic areas is scarcely documented. The later usually shows a benign course but fatal cases do exist. The authors report a case of a young female patient, in the late puerperium, with a three-month history of weight loss, intermittent fever, cough, thoracic and abdominal pain and increased abdominal girth. Physical examination showed a tachycardia, tachypnea and hypotension. Laboratory tests showed a mild anemia, eosinophilia, and a slightly elevation of liver enzymes. Thorax and abdominal multidetector computed tomography evidenced a diffuse and bilateral pulmonary micronodules and peritoneal and intestinal wall thickening. The patient progressed rapidly to hepatic insufficiency, and death after respiratory insufficiency. An autopsy was performed and the findings were compatible with acute Schistosomiasis in a patient previously exposed to Schistosoma mansoni.

show abstract

“…No entanto, com a otimização da metodologia diagnóstica, número cada vez maior de casos vem sendo diagnosticado 1 -3 . A apre s e n t a ç ã o n e u rológica da neuroesquistossomose é variável e não existe uma manifestação típica para orientar o diagnóstico 1 ; a apresentação clássica da patologia é de dor lombar baixa 4 . A mielopatia é uma forma grave dessa helmintose e o prognóstico depende do diagnóstico prec o c e 5 .…”

Section: Cerebrospinal Fluid In the Diagnosis Of Spinal Schistosomiasisunclassified

Líquido cefalorraquidiano no diagnóstico da esquistossomose raquimedular

Tesser

Reis

Borelli

et al. 2005

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

RESUMO -As três espécies de esquistossoma podem comprometer o sistema nervoso. O S. mansoni é responsável pela esquistossomose no Brasil, sendo a mielopatia uma forma grave desta helmintose. O p ropósito deste trabalho é analisar as alterações do líquido cefalorraquidiano (LCR) para dar mais subsídios para o diagnóstico da esquistossomose raquimedular. Fizeram parte deste estudo 22 amostras de LCR de pacientes com esquistossomose espinal. Os resultados das análises destas amostras mostraram que a associação de alterações do LCR com quadro inflamatório e RIFI-IgM positiva ocorreu em 88% dos pacientes, que o eosinófilo esteve presente em apenas 7 amostras (36,8%), e que 3 dos 22 pacientes estudados a p resentaram LCR normal. Conclui-se que o exame de LCR é coadjuvante muito útil para o diagnóstico da neuroesquistossomose.PALAVRAS-CHAVE: líquido cefalorraquidiano, esquistossomose raquimedular.Cerebrospinal fluid in the diagnosis of spinal schistosomiasis ABSTRACT -Cere b rospinal fluid (CSF) changes in spinal shistosomiasis have been described. Its characteristic f e a t u res are mild to moderate pleocytosis, presence of eosinophils, slight to moderate protein incre a s e , elevated gamma globulin concentration and a positive immune assay. Nevertheless, these abnorm a l i t i e s a re not always present together and there f o re difficulties may arise in the assessment of the diagnosis. The purpose of this paper is to evaluate the importance of each CSF alteration concerning the diagnosis in 22 cases of spinal shistosomiasis. According to the results, only 20% of the cases had all the five feature that are considered to be characteristic of spinal shistomiasis. Abnormal cell count was present in 86%, p rotein increase in 77.3%, immunoglobulin G increase in 60,8%, eosinophils were present in 36.8% and i n d i rect fluorescent antibody test was positive in 68.2%. In three cases all CSF parameters studied were within the normal limits. As the most specific test among those described was the indirect fluore s c e n t antibody test, it should be regarded for the diagnosis. Pio XII 731 / 1302 -86020-381 Londrina PR -Brasil. E-mail: egidiotesser@yahoo.com.br A neuroesquistossomose tem sido considerada doença rara. No entanto, com a otimização da metodologia diagnóstica, número cada vez maior de casos vem sendo diagnosticado 1 -3 . A apre s e n t a ç ã o n e u rológica da neuroesquistossomose é variável e não existe uma manifestação típica para orientar o diagnóstico 1 ; a apresentação clássica da patologia é de dor lombar baixa 4 . A mielopatia é uma forma grave dessa helmintose e o prognóstico depende do diagnóstico prec o c e 5 . A comprovação histológica nessa situação, é trabalhosa e arriscada, pois para tanto há necessidade de procedimento cirúrgico para se obter um fragmento de meninge, de raiz nervosa ou de medula espinhal. Até o presente momento, o diagn ó stico da esquistossomose medular é de pro b a b i l idade. Considerando que o tratamento precoce dessa doença é fundamental para se evitar seqüelas e que o...

show abstract

Esquistossomose aguda com comprometimento cerebral: relato de caso

Cited by 8 publications

References 17 publications

Acute schistosomiasis mansoni: revisited and reconsidered

Acute schistosomiasis mansoni: revisited and reconsidered

Schistosomiasis: a case of severe infection with fatal outcome intensive care settings: case report and evidence-based literature review

Líquido cefalorraquidiano no diagnóstico da esquistossomose raquimedular

Contact Info

Product

Resources

About