Citation
W M Izzuddin, Anas Aminin and Yusof Khan, Abdul Hanif Khan and Inche Mat, Liyana Najwa and Ahmad Apandi, Laila Mastura and Chia, Peck Kee and Basri, Hamidon
(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).
pp. 187-190.
ISSN 1675-8544; ESSN: 2636-9346
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 hyperintensity. 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.
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