Neuroradiology

, Volume 39, Issue 10, pp 708–710

Human African trypanosomiasis: MRI

Authors

  • P. Sabbah
    • SP 91479, F-00218 Armées, France, e-mail sabbherv@mail.pf
  • C. Brosset
    • Department of Infectious and Tropical Diseases, HIA LAVERAN, F-13998 Marseille Armées, France
  • P. Imbert
    • Department of Infectious and Tropical Diseases, HIA LAVERAN, F-13998 Marseille Armées, France
  • G. Bonardel
    • SP 91479, F-00218 Armées, France, e-mail sabbherv@mail.pf
  • P. Jeandel
    • Institute of Tropical Medecine of the Armed Forces Health Department, Le Pharo, F-13998 Marseille Armées, France
  • J. F. Briant
    • SP 91479, F-00218 Armées, France, e-mail sabbherv@mail.pf
DIAGNOSTIC NEURORADIOLOGY

DOI: 10.1007/s002340050491

Cite this article as:
Sabbah, P., Brosset, C., Imbert, P. et al. Neuroradiology (1997) 39: 708. doi:10.1007/s002340050491

Abstract

We report a case of human African trypanosomiasis caused by Trypanosoma brucei rhodesiense. After the febrile period of parasite dissemination, the patient had meningeal involvement but normal CT. MRI showed the appearances of meningitis. After two periods of arsenical treatment, a severe encephalopathy occurred suggesting post-therapeutic reactive encephalitis (PTRE). Nevertheless, T2-weighted MRI showed no oedema, but focal bilateral high signal areas in the white matter. PTRE was excluded and a third course of treatment was undertaken. The lesions progressively disappeared.

Key words Human African trypanosomiasisMeningitisMagnetic resonance imaging

Copyright information

© Springer-Verlag Berlin Heidelberg 1997