Perfil clínico e epidemiológico dos portadores de mielorradiculopatia esquistossomótica em duas unidades de saúde de Aracaju, Sergipe

Abstract

INTRODUCTION: Schistosomal myeloradiculopathy (SMR) is the most severe and disabling ectopic infection of Schistosoma mansoni, however its prevalence in endemic areas has been underestimated over the years. The aim of this study was to identify clinical and epidemiological data related to cases of MRE diagnosed in two health units. METHODS: A retrospective, descriptive case series from the data collection records for the years 2007-2011, in two hospitals of reference in Sergipe. RESULTS: We identified 27 patients in which 16 (59.25%) were male with a mean age of 32.55 years and a standard deviation of 13.47. Only 51.8% of subjects were asked whether area of residence or visitation was rural and 55.5% of patients were asked if the region was endemic for schistosomiasis. Signs and symptoms more common were back pain (62,9%) and urinary retention (74%) . Six (22.2%) patients underwent examination of cerebrospinal fluid, only 12 (44.4%) underwent stool testing and in three (11.1%) the result was positive for S. mansoni. Only in 13 cases was performed nuclear magnetic resonance. The lumbar segments (61,5%) and thoracolumbar (23,07%) of the spinal cord were the areas most affected, followed by the thoracic (15,38%). CONCLUSION: Analyzed the medical records revealed failure in data collection during important clinical and epidemiological anamnesis which contributes to the underdiagnosis of SRM in Sergipe. Knowledge of clinical and epidemiological profile of this ectopic could provide political control and prevention more effective and thereby reduce morbidity and mortality of the population.