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Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report

Neurosehistosomiasis is an infection of the central nervous system caused by Schistosoma species and constitute a severe manifestation of the disease. Schistosoma japonicum is well-latown cause of cerebral schistosomiasis and Schistosoma mansoni for spinal schistosomiasis. Although neuroschistosomia...

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Main Authors: Nyein, Aye Myat, Sann, Aye Aye, Aye, Nu Nu, Tan, Chong Tin
Format: Article
Published: ASEAN Neurological Association 2020
Subjects:
R Medicine (General)
RC Internal medicine
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Online Access:http://eprints.um.edu.my/36667/
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spelling my.um.eprints.366672024-11-04T02:13:47Z http://eprints.um.edu.my/36667/ Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report Nyein, Aye Myat Sann, Aye Aye Aye, Nu Nu Tan, Chong Tin R Medicine (General) RC Internal medicine RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Neurosehistosomiasis is an infection of the central nervous system caused by Schistosoma species and constitute a severe manifestation of the disease. Schistosoma japonicum is well-latown cause of cerebral schistosomiasis and Schistosoma mansoni for spinal schistosomiasis. Although neuroschistosomiasis is not rare, reports on cerebral vasculitis associated with Schistosoma mansoni infection is scarce. With regards to schistosomiasis in Asia, most of the published literature has been on Schistosoma japonicum and the prevalence of Schistosoma mansoni in Asia is not well established. We report here a 54-year-old Rakhine woman with history of diabetes mellitus for more than ten years presenting with three recurrent stroke occurring over 2 months, twelve months after returning to Yangon from Rakhine, an endemic area for Schistosoma niansoni infection. Cerebral NfRA revealed beaded appearance along left ACA and segmental narrowing beyond terminal ICA both sides, and contrast enhancement was noted at left frontal lobe with restricted diffusion on MRI brain. Serum serology testing for Schistosoma mansoni infection was positive. With oral praziquantel and high dose corticosteroid, aphasia and swallowing improved. This is the first report of delayed onset cerebral vasculitis associated with chronic Schistosoma mansoni infection in Asia. ASEAN Neurological Association 2020-06 Article PeerReviewed Nyein, Aye Myat and Sann, Aye Aye and Aye, Nu Nu and Tan, Chong Tin (2020) Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report. Neurology Asia, 25 (2). pp. 203-206. ISSN 1823-6138,
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine (General)
RC Internal medicine
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
spellingShingle R Medicine (General)
RC Internal medicine
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Nyein, Aye Myat
Sann, Aye Aye
Aye, Nu Nu
Tan, Chong Tin
Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report
description Neurosehistosomiasis is an infection of the central nervous system caused by Schistosoma species and constitute a severe manifestation of the disease. Schistosoma japonicum is well-latown cause of cerebral schistosomiasis and Schistosoma mansoni for spinal schistosomiasis. Although neuroschistosomiasis is not rare, reports on cerebral vasculitis associated with Schistosoma mansoni infection is scarce. With regards to schistosomiasis in Asia, most of the published literature has been on Schistosoma japonicum and the prevalence of Schistosoma mansoni in Asia is not well established. We report here a 54-year-old Rakhine woman with history of diabetes mellitus for more than ten years presenting with three recurrent stroke occurring over 2 months, twelve months after returning to Yangon from Rakhine, an endemic area for Schistosoma niansoni infection. Cerebral NfRA revealed beaded appearance along left ACA and segmental narrowing beyond terminal ICA both sides, and contrast enhancement was noted at left frontal lobe with restricted diffusion on MRI brain. Serum serology testing for Schistosoma mansoni infection was positive. With oral praziquantel and high dose corticosteroid, aphasia and swallowing improved. This is the first report of delayed onset cerebral vasculitis associated with chronic Schistosoma mansoni infection in Asia.
format Article
author Nyein, Aye Myat
Sann, Aye Aye
Aye, Nu Nu
Tan, Chong Tin
author_facet Nyein, Aye Myat
Sann, Aye Aye
Aye, Nu Nu
Tan, Chong Tin
author_sort Nyein, Aye Myat
title Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report
title_short Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report
title_full Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report
title_fullStr Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report
title_full_unstemmed Delayed onset cerebral vasculitis from chronic Schistosoma mansoni infection in Myanmar: A case report
title_sort delayed onset cerebral vasculitis from chronic schistosoma mansoni infection in myanmar: a case report
publisher ASEAN Neurological Association
publishDate 2020
url http://eprints.um.edu.my/36667/
_version_ 1814933204203732992
score 13.211869

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