Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2003 |
| Outros Autores: | , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFBA |
| Texto Completo: | http://www.repositorio.ufba.br/ri/handle/ri/5905 |
Resumo: | p.353-358 |
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Carvalho, Otavio Augusto Moreno deCarvalho, Cristiana Maria Costa Nascimento deBacelar, Aroldo Luiz da SilvaAndrade Filho, Antônio de SouzaCosta, GersonitaFontes, Jandira BastosAssis, TelmaCarvalho, Otavio Augusto Moreno deCarvalho, Cristiana Maria Costa Nascimento deBacelar, Aroldo Luiz da SilvaAndrade Filho, Antônio de SouzaCosta, GersonitaFontes, Jandira BastosAssis, Telma2012-05-17T15:05:03Z2012-05-17T15:05:03Z2003-060004-282Xhttp://www.repositorio.ufba.br/ri/handle/ri/5905v. 61, n. 2-Bp.353-358Objectives: To describe the clinical and CSF findings among patients with presumptive neuroschistosomiasis (NS) and to suggest a classification for the CSF diagnosis of presumptive NS. Method: The charts of all patients whose CSF exam was performed at the CSF Lab, José Silveira Foundation, Salvador, Brazil, from 1988 to 2002 were reviewed. Those with clinically suspected NS whose indirect fluorescent antibody test (IFA) and or hemagglutination-inhibiting antibodies test (HAI) were positive to S. mansoni were identified. Results: Of 377 patients, 67.9% were males; the median age was 36 years (mean 37 + 16 yrs, range 3-82 yrs). The most frequent complaints were paraparesis (59.9%), urinary retention (36.2%), lower limb pain (22.8%). WBC of CSF (count/mm3) was > 4 in 66.0% (mean 83 + 124, median 40, range 4.3-1,100), protein (mg/dl) was > 40 in 84.6% (mean 185 + 519, median 81, range 41-6,800) and eosinophils were present in 46.9%. IFA and HAI were positive in 75.3%. WBC > 4 and presence of eosinophils were associated with IFA and HAI positive (67.3% versus 51.4%, p 0.014; 49.1% versus 23.0%, p 0.0001, respectively) and protein > 40 was not (85.4% versus 77.0%, p 0.09). Presence of WBC > 4, protein > 40 and eosinophils was associated with IFA and HAI positive (71.6% versus 38.2%, p 0.0003) but presence of eosinophils and any other combination of WBC and protein were not. Conclusion: NS should be considered as a possible diagnosis in patients who had had contact with schistosome-infected water and present with spinal cord compromising. Presence of IFA and HAI positive to S. mansoni, WBC > 4, protein > 40 and presence of eosinophils in the CSF may be considered as a criterium of highly probable presumptive diagnosis.Submitted by Texeira Ana (atanateixeira@gmail.com) on 2012-05-17T15:05:03Z No. of bitstreams: 1 Moreno-Carvalho, Otávio Augusto.pdf: 82414 bytes, checksum: 8cc2d9c630555d75842f1577970b44d7 (MD5)Made available in DSpace on 2012-05-17T15:05:03Z (GMT). No. of bitstreams: 1 Moreno-Carvalho, Otávio Augusto.pdf: 82414 bytes, checksum: 8cc2d9c630555d75842f1577970b44d7 (MD5) Previous issue date: 2003-06São PauloAssociação Arquivos de Neuro-Psiquiatria Dr. Oswaldo Langehttp://dx.doi.org/10.1590/S0004-282X2003000300006reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBANeuroschistosomiasisCerebrospinal fluidCSF diagnosisMyelitisMyeloradiculitisSchistosoma mansoniClinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasisArq Neuropsiquiatrinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/5905/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52ORIGINALMoreno-Carvalho, Otávio Augusto.pdfMoreno-Carvalho, Otávio Augusto.pdfapplication/pdf82414https://repositorio.ufba.br/bitstream/ri/5905/1/Moreno-Carvalho%2c%20Ot%c3%a1vio%20Augusto.pdf8cc2d9c630555d75842f1577970b44d7MD51TEXTMoreno-Carvalho, Otávio Augusto.pdf.txtMoreno-Carvalho, Otávio Augusto.pdf.txtExtracted texttext/plain25788https://repositorio.ufba.br/bitstream/ri/5905/3/Moreno-Carvalho%2c%20Ot%c3%a1vio%20Augusto.pdf.txt081bf68d2a01991a6212e473f48d32b8MD53ri/59052022-07-05 14:03:12.231oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:12Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
| dc.title.pt_BR.fl_str_mv |
Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis |
| dc.title.alternative.pt_BR.fl_str_mv |
Arq Neuropsiquiatr |
| title |
Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis |
| spellingShingle |
Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis Carvalho, Otavio Augusto Moreno de Neuroschistosomiasis Cerebrospinal fluid CSF diagnosis Myelitis Myeloradiculitis Schistosoma mansoni |
| title_short |
Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis |
| title_full |
Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis |
| title_fullStr |
Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis |
| title_full_unstemmed |
Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis |
| title_sort |
Clinical and cerebrospinal fluid (CSF) profile and CSF criteria for the diagnosis of spinal cord schistosomiasis |
| author |
Carvalho, Otavio Augusto Moreno de |
| author_facet |
Carvalho, Otavio Augusto Moreno de Carvalho, Cristiana Maria Costa Nascimento de Bacelar, Aroldo Luiz da Silva Andrade Filho, Antônio de Souza Costa, Gersonita Fontes, Jandira Bastos Assis, Telma |
| author_role |
author |
| author2 |
Carvalho, Cristiana Maria Costa Nascimento de Bacelar, Aroldo Luiz da Silva Andrade Filho, Antônio de Souza Costa, Gersonita Fontes, Jandira Bastos Assis, Telma |
| author2_role |
author author author author author author |
| dc.contributor.author.fl_str_mv |
Carvalho, Otavio Augusto Moreno de Carvalho, Cristiana Maria Costa Nascimento de Bacelar, Aroldo Luiz da Silva Andrade Filho, Antônio de Souza Costa, Gersonita Fontes, Jandira Bastos Assis, Telma Carvalho, Otavio Augusto Moreno de Carvalho, Cristiana Maria Costa Nascimento de Bacelar, Aroldo Luiz da Silva Andrade Filho, Antônio de Souza Costa, Gersonita Fontes, Jandira Bastos Assis, Telma |
| dc.subject.por.fl_str_mv |
Neuroschistosomiasis Cerebrospinal fluid CSF diagnosis Myelitis Myeloradiculitis Schistosoma mansoni |
| topic |
Neuroschistosomiasis Cerebrospinal fluid CSF diagnosis Myelitis Myeloradiculitis Schistosoma mansoni |
| description |
p.353-358 |
| publishDate |
2003 |
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2003-06 |
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2012-05-17T15:05:03Z |
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2012-05-17T15:05:03Z |
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info:eu-repo/semantics/publishedVersion |
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http://www.repositorio.ufba.br/ri/handle/ri/5905 |
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0004-282X |
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v. 61, n. 2-B |
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0004-282X v. 61, n. 2-B |
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http://www.repositorio.ufba.br/ri/handle/ri/5905 |
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Associação Arquivos de Neuro-Psiquiatria Dr. Oswaldo Lange |
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Associação Arquivos de Neuro-Psiquiatria Dr. Oswaldo Lange |
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http://dx.doi.org/10.1590/S0004-282X2003000300006 |
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reponame:Repositório Institucional da UFBA instname:Universidade Federal da Bahia (UFBA) instacron:UFBA |
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