Acute myelitis related to hepatitis a after travel to Senegal
Ficko, C.; Imbert, P.; Mechaï, F.; Barruet, R.; Nicand, E.; Rapp, C.
Medecine Tropicale Revue du Corps de Sante Colonial 70(1): 7-8
2010
ISSN/ISBN: 0025-682X PMID: 20337107 Document Number: 641858
Neurological complications are rare following hepatitis A. Acute myelitis is even more uncommon. The purpose of this report is to describe a case of acute myelitis related to hepatitis A virus (HAV) in a 43-year-old-woman returning from Senegal. Diagnosis of myelitis was confirmed by spinal MRI and detection of anti-HAV Ig M antibodies in serum. The patient made a spontaneous clinical recovery in one month. Spinal MRI findings were normal at three months. Hepatitis A should be considered in the diagnostic approach to acute myelitis in returning travelers and patients living in highly endemic countries where prophylactic vaccination is unavailable.