Acute meningomyelitis and polyradiculoneuritis disclosing systemic lupus erythematosus
Mouti, O.; Harmouch, H.; Faris, M.E.-Alaoui; Birouk, N.; Kabbaj, S.; Aidi, S.; Jiddane, M.; Maazouzi, W.; Chkili, T.
Revue Neurologique (Paris) 158(1): 81-83
2002
ISSN/ISBN: 0035-3787 PMID: 11938328 Document Number: 545681
A 25-year-old male presented purulent meningitis associated with transverse myelitis. Spinal T2-weighted MRI showed a large spinal cord with an intramedullary high signal. Infection resolved with antibiotic therapy but spastic paraplegia persisted. Four months later, he developed a Guillain-Barré syndrome with clinical and biological signs of systemic lupus erythematosus. Final outcome was fatal despite corticosteroid and immunoglobulin treatment.