Résumé / Abstract

211 - À propos d'un cas autochtone de neurocysticercose au Mali (premier cas de la littérature ?)

About an autochtonous case of neurocysticercosis in Mali.

Y. Maïga, M. Diallo, B. Bouteille, A. Konate, M. Diarra, M. Maïga & M. Marjolet

La cysticercose, parasitose cosmopolite, a déjà été signalée dans plusieurs pays de confession musulmane en particulier chez des travailleurs issus de pays d'endémie pour Taenia solium. Nous rapportons pour la première fois au Mali, un cas chez une jeune femme de contamination autochtone, se présentant sous la forme d'une atteinte neurologique, résolutive après traitement anti-parasitaire à base d'albendazole et de praziquantel. Il n'a pas été possible d'en déterminer l'origine exacte. Cette première observation doit inciter à être plus attentif devant toute épilepsie dans ce pays.

cysticercose - épilepsie - Islam - hôpital - Bamako - Mali - Afrique intertropicale

Cysticercosis has been reported in Muslim countries in workers coming from endemic regions for Taenia solium. For the first time in Mali, the authors report a case of autochtonous neurocysticercosis where muslim religion is predominent. The patient was a woman student with fever, arthralgia, headaches, consciousness troubles followed by partial motor epilepsy. Diagnosis was confirmed by clinic, serology ELISA and Western blotting and cephalic tomodensitometry analysis. The medical treatment was successfully based on combination of albendazole and praziquantel. The origin of contamination remains unknown and further investigations are needed, particularly with veterinary research team and the National League against epilepsy recently founded in Mali.

cysticercose - épilepsie - Islam - hôpital - Bamako - Mali - Afrique intertropicale

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