Kibiki G S, Murphy D K
Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Tumaini University, Moshi, Tanzania.
J Neurol Neurosurg Psychiatry. 2006 May;77(5):684-5. doi: 10.1136/jnnp.2005.079533.
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.
我们报告了一例中年坦桑尼亚男子的病例，该男子在6周内出现了脊髓综合征，并伴有轻度脑病。调查排除了坦桑尼亚北部我们所在地区此类综合征的常见主要病因。对其脑脊液的检查发现了锥虫，在接受了苏拉明和美拉胂醇的完整疗程后，他虽恢复缓慢但有显著改善。我们推测他患有由非洲锥虫病引起的横贯性脊髓炎，这是一种罕见且鲜为人知的病因。
