Transverse myelitis due to trypanosomiasis in a middle aged Tanzanian man.

Journal of Neurology, Neurosurgery, and Psychiatry
G S Kibiki, D K Murphy

Abstract

We report the case of a middle aged Tanzanian man who developed a spinal cord syndrome over 6 weeks, along with a mild encephalopathy. Investigations ruled out the usual major causes of such a syndrome in our setting in northern Tanzania. Examination of his cerebrospinal fluid revealed trypanosomes, and he made a slow but dramatic improvement after a full course of suramine and melarsoprol. We postulate that he had a transverse myelitis due to African trypanosomiasis, a rare and barely recognised cause.

References

Jul 1, 1997·Brain : a Journal of Neurology·S M al DeebN M Biary
Nov 7, 2003·Lancet·Michael P BarrettSanjeev Krishna
Dec 14, 2004·West African Journal of Medicine·A O OgunseyindeO J Fatunde

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Citations

Nov 29, 2012·Neurologic Clinics·Shin C BehElliot M Frohman
May 9, 2015·Neuroimaging Clinics of North America·Lázaro Luís Faria do AmaralAntonio Jose da Rocha

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