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Human African trypanosomiasis: MRI

  • DIAGNOSTIC NEURORADIOLOGY
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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.

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Authors and Affiliations

  1. SP 91479, F-00218 Armées, France, e-mail sabbherv@mail.pf, , , , , , FR

    P. Sabbah, G. Bonardel & J. F. Briant

  2. Department of Infectious and Tropical Diseases, HIA LAVERAN, F-13998 Marseille Armées, France, , , , , , FR

    C. Brosset & P. Imbert

  3. Institute of Tropical Medecine of the Armed Forces Health Department, Le Pharo, F-13998 Marseille Armées, France, , , , , , FR

    P. Jeandel

Authors
  1. P. Sabbah
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  2. C. Brosset
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  3. P. Imbert
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  4. G. Bonardel
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  5. P. Jeandel
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  6. J. F. Briant
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Received: 3 September 1996 Accepted: 30 January 1997

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Sabbah, P., Brosset, C., Imbert, P. et al. Human African trypanosomiasis: MRI. Neuroradiology 39, 708–710 (1997). https://doi.org/10.1007/s002340050491

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  • DOI: https://doi.org/10.1007/s002340050491

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