Corpus Callosum Hematoma Revealing Imported Neuromalarial Disease: A Case Report
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Abstract
Cerebral malaria, one of the most serious complications of Plasmodium falciparum infection, is characterized by the sequestration of parasitized red blood cells (HP) within deep cerebral microvessels. Herein, we report the case of a 30-year-old man with no particular medical history, with the notion of stay in an endemic area [Ivory Coast] for 3 months. , who was admitted to our medical intensive care unit for status epilepticus. Upon admission the patient was immediately intubated due to persistent seizures. He was febrile at 39°C. Lumbar puncture was performed and was sterile. A cerebral CT showed a slight cerebral edema with exaggerated hyper density of the cerebral tent. A cerebral MRI showed a hypersignal of selenium from the corpus callosum, corresponding to a hematoma of the corpus callosum which subsequently revealed an imported neuroma aria. A thick blood smear was then performed, showing the presence of plasmodium falciparum trophozoites, following which the patient was put on Artesunate. The evolution was favorable,and the patient was extubated without neurological complications .We also point out the challenges this diagnosis may pose, especially in a non-endemic country such as Morocco.
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