ACUTE NEUROSCHISTOSOMIASIS: TWO CASES ASSOCIATED WITH CEREBRAL VASCULITIS

STÉPHANE JAURÉGUIBERRY Department of Infectious and Tropical Disease, Hôpital Tenon, Assistance Publique Hopitaux de Paris, Paris, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Hôpital Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, France

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SÉVERINE ANSART Department of Infectious and Tropical Disease, Hôpital Tenon, Assistance Publique Hopitaux de Paris, Paris, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Hôpital Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, France

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LUCIA PEREZ Department of Infectious and Tropical Disease, Hôpital Tenon, Assistance Publique Hopitaux de Paris, Paris, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Hôpital Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, France

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MARTIN DANIS Department of Infectious and Tropical Disease, Hôpital Tenon, Assistance Publique Hopitaux de Paris, Paris, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Hôpital Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, France

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FRANÇOIS BRICAIRE Department of Infectious and Tropical Disease, Hôpital Tenon, Assistance Publique Hopitaux de Paris, Paris, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Hôpital Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, France

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ERIC CAUMES Department of Infectious and Tropical Disease, Hôpital Tenon, Assistance Publique Hopitaux de Paris, Paris, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Hôpital Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, France

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Encephalitis and focal neurologic deficits can occur during the acute phase of schistosomiasis. We report two cases in which cerebral imaging showed cerebral vasculitis located in arterial junctional territories. These neurologic complications may be caused by eosinophil-mediated toxicity. Immediate treatment should consist of corticosteroids rather than specific antischistosomal drugs, which may aggravate the disorders.

Author Notes

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