Longitudinal Extensive Transverse Myelitis as a Neurological Sequelae post-Sea Urchin Stings: A Case Report

Article Sidebar

PDF
Published: Jan 31, 2021
Keywords:
Acute transverse myelitis, Neuromyelitis Optica spectrum disorder, Sea-urchin, Delayed hypersensitivity

Main Article Content

Anas Aminin W M Izzuddin
Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
Abdul Hanif Khan Yusof Khan
Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
Liyana Najwa Inche Mat
Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
Laila Mastura Ahmad Apandi
Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
Peck Kee Chia
Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
Hamidon Basri
Department of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia

Abstract

Puncture injury from sea-urchin stings may lead to a local and systemic inflammatory reaction. We are reporting a case of longitudinal extensive transverse myelitis (LETM), which occurred ten days post-sea-urchin stings, where the patient presented with bilateral lower limb weakness. MRI showed multilevel segment spinal cord T2-weighted hy- perintensity. Prompt intravenous methylprednisolone was administered, and the patient had a full recovery. To date, there is no case report of LETM associated with sea-urchin stings. Possible mechanism due to delayed immunological hypersensitivity to sea-urchin venom. This case demonstrates the potential serious neurological sequelae that may be associated with post-sea-urchin sting and the importance of prompt recognition and management in aiding recovery.

Downloads

Download data is not yet available.

Article Details

How to Cite
W M Izzuddin, A. A., Yusof Khan, A. H. K., Inche Mat, L. N., Ahmad Apandi, L. M., Chia, P. K., & Basri, H. (2021). Longitudinal Extensive Transverse Myelitis as a Neurological Sequelae post-Sea Urchin Stings: A Case Report. Malaysian Journal of Medicine and Health Sciences, 17(1), 187–190. Retrieved from http://mjmhsojs.upm.edu.my/index.php/mjmhs/article/view/207
Issue
Vol. 17 No. 1 (2021)
Section
Case Report

References

Rossetto AL, Mora JDM, Haddad V. Sea urchin granuloma. Rev Inst Med Trop Sao Paulo. 2006; 48(5):303–6.

Trebst C, Raab P, Voss EV, Rommer P, Abu- Mugheisib M, Zettl UK, Stangel M. Longitudinal extensive transverse myelitis—it’s not all neuromyelitis optica. Nature Reviews Neurology. 2011;7(12):688 -98.

Borisow N, Mori M, Kuwabara S, Scheel M, Paul F. Diagnosis and treatment of NMO spectrum disorder and MOG-encephalomyelitis. Frontiers in Neurology. 2018; 23;9:888.

Tibballs J, Yanagihara AA, Turner HC, Winkel K. Immunological and toxicological responses to jellyfish stings. Inflamm Allergy - Drug Targets. 2011;10(5):438–46.

Agmon-Levin N, Kivity S, Szyper-Kravitz M, Shoenfeld Y. Transverse myelitis and vaccines: a multi-analysis. Lupus. 2009;18(13):1198-204.