Duarte Armindo Rui, Costa Sónia, Almeida Vânia, Barroso Cândida
Neurology Unit, Hospital Vila Franca Xira, Vila Franca de Xira, Portugal.
BJR Case Rep. 2020 Feb 12;6(1):20190055. doi: 10.1259/bjrcr.20190055. eCollection 2020 Mar.
Aiming to raise awareness for the possibility of schistosomal involvement of the central nervous system in travellers returning from endemic areas and/or immigrants to nonendemic areas, the authors report a case of neuroschistosomiasis in a Portuguese patient coming from the Republic of São Tomé and Príncipe with good clinical outcome following praziquantel therapy. This is the first case of neuroschistosomiasis associated with São Tomé and Príncipe reported in literature and further studies are needed to confirm which species of this parasite are endemic of that region. We conclude that early diagnosis is key to reduce clinical severity and therefore validation of new diagnostic techniques and establishment of consensual treatment guidelines would be important.
为提高对来自流行地区的旅行者和/或前往非流行地区的移民中枢神经系统血吸虫感染可能性的认识，作者报告了一例来自圣多美和普林西比共和国的葡萄牙患者的神经血吸虫病病例，该患者在接受吡喹酮治疗后临床预后良好。这是文献中报道的首例与圣多美和普林西比相关的神经血吸虫病病例，需要进一步研究以确认该地区流行的寄生虫种类。我们得出结论，早期诊断是降低临床严重程度的关键，因此新诊断技术的验证和共识性治疗指南的建立将很重要。
