Ficko C, Imbert P, Mechaï F, Barruet R, Nicand E, Rapp C
Service des maladies infectieuses et tropicales, Hôpital d'instruction des armées Bégin, Saint-Mandé.
Med Trop (Mars). 2010 Feb;70(1):7-8.
Neurological complications are rare following hepatitis A. Acute myelitis is even more uncommon. The purpose of this report is to describe a case of acute myelitis related to hepatitis A virus (HAV) in a 43-year-old-woman returning from Senegal. Diagnosis of myelitis was confirmed by spinal MRI and detection of anti-HAV Ig M antibodies in serum. The patient made a spontaneous clinical recovery in one month. Spinal MRI findings were normal at three months. Hepatitis A should be considered in the diagnostic approach to acute myelitis in returning travelers and patients living in highly endemic countries where prophylactic vaccination is unavailable.