Neuroschistosomiasis

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Clinical DescriptionSchistosomiasis infection involving the CNS. 

Treatment NON-PHARMACOLOGICAL TREATMENT AND COMPLICATIONS MANAGEMENT 

Complication	Prevention & Management
Pressure sores	Nursing, training of and counselling of guardians (2-hourly turning)
Urinary retention	Catheterization
Contractures	Physiotherapy, training of guardians for home-based physiotherapy
Pain	NSAID/opiates, Tiyanjane team
Immobilization	Walking aids/wheelchairs
Depression	Spiritual and mental support, occupational team/community projects, pharmacotherapy

 

PHARMACOLOGICAL

• Praziquantel 50mg/kg/day divided in two doses for 5 days.

When to refer

• When a patient meets indications for spinal surgery listed above.
• Acute compression with an unidentified cause.
• Suspected transverse myelitis where immunosuppressants are unavailable.