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\title{A Flask Paraplegic Reveals a Sero Positive to HIV}
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             \author[1]{Savadogo  Mamoudou}

             \affil[1]{  University of Ouagadougou}

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\date{\small \em Received: 11 December 2015 Accepted: 3 January 2016 Published: 15 January 2016}

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\begin{abstract}
        


Flask paraplegic during the infection by the virus of human immunodeficiency (HIV) are very strong and with multiple etiology. The author report a case of flask paraplegic which was the circumstance to discover HIV sero positive with a patient.The aim was to illustrate the difficulties of etiology diagnostic despite the realization of tom densitometry and of medullar IRM. It was a young lady with had 27 years of age who had been admitted for chronic cough, flask paraplegic and a retention of urine. The analysis during her admission notified a flask paraplegic, some sphincterien troubles, without sensibility troubles. There was no signal neither of Babinski nor amyotrophic. The examination of respiratory organ notified a syndrome of pulmonary bilateral condensation. The CT Scan of sacred lamb rachis focused on some discal protrusions of lamb sacred, and the IRM showed an aspect of inflammatory myelite. The pulmonary radio showed interstitial pneumopathy with a right scissurite. The research of some BAAR became negative. The retroviral became HIV positive and the quantity of lymphocytes TCD4 at 118 cellular/ mm3 with a viral charge of 74 782 copies/ ml. The diagnostic of myelite caused by HIV combined to pneumopathy was retained.

\end{abstract}


\keywords{flask paraplegic, chronic cough, HIV/aids}

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\let\tabcellsep& 	 	 		 \par
A Flask Paraplegic Reveals a Sero Positive to HIV Savadogo Mamoudou Summary-Flask paraplegic during the infection by the virus of human immunodeficiency (HIV) are very strong and with multiple etiology. The author report a case of flask paraplegic which was the circumstance to discover HIV sero positive with a patient.\par
The aim was to illustrate the difficulties of etiology diagnostic despite the realization of tom densitometry and of medullar IRM. It was a young lady with had 27 years of age who had been admitted for chronic cough, flask paraplegic and a retention of urine. The analysis during her admission notified a flask paraplegic, some sphincterien troubles, without sensibility troubles. There was no signal neither of Babinski nor amyotrophic. The examination of respiratory organ notified a syndrome of pulmonary bilateral condensation. The CT Scan of sacred lamb rachis focused on some discal protrusions of lamb sacred, and the IRM showed an aspect of inflammatory myelite. The pulmonary radio showed interstitial pneumopathy with a right scissurite. The research of some BAAR became negative. The retroviral became HIV positive and the quantity of lymphocytes TCD4 at 118 cellular/ mm3 with a viral charge of 74 782 copies/ ml. The diagnostic of myelite caused by HIV combined to pneumopathy was retained. Under the treatment of antiretroviral and anti biotherapy the process was favorable but it persisted the flask paraplegic despite the reduction sessions. She was discharged from hospital on 01/09/2015.\par
The neurologic manifestation like flask paraplegic could be the revelation of HIV infection. Their presence justifies the practice of HIV serology.\par
Keywords: flask paraplegic, chronic cough, HIV/aids. 
\section[{I. Introduction}]{I. Introduction}\par
he nervous system is often a target organ affected during the HIV infection. This contact can be caused either by an opportunist infection, or by a pathology or of HIV neurotropism itself. In Africa, and in west countries, the contact of neurologic infection by HIV are frequent (37\%). They occupied the third position of affection during this virose, after the digestive manifestations and of the body \hyperref[b0]{(1,}\hyperref[b4]{5)}. If some get in touch with the secondary affection at immune depression, others correspond to direct contact of nervous system by HIV \hyperref[b1]{(2,}\hyperref[b2]{3,}\hyperref[b3]{4)}. We report a case of myelite combined with HIV as an aim to remind the gravity of this neurologic infection during Aids. 
\section[{II. Observation}]{II. Observation}\par
Female patient of 27 years having before zona intercostals, was admitted for chronic cough urine Author : service des maladies infectieuses du CHU Yalgado Ouédraogo, Burkina Faso. e-mail: savadoma@gmail.com retention and absolute impotence function of inferior members. The beginning of the illness could be up to about two weeks through the appearance of productive cough which brought her to consultation where treatment was given without success. It is at the appearance of a urine retention and of an impotence function of inferior members at brutal occurrence that she has been referred to Yalgado Ouédraogo hospital for a better caring.\par
The examination at her admission notified a general conserved state, conjunctives well anicterique colored, a temperature of 39°5, without neither hydratation, nor nutritious, nor linens. The examination of nervous system gave a clear conscious, a flask paraplegic with 0/5, with abolition of osteoarticulary reflexes, without neither sensibility troubles nor Babinski.\par
The analysis of pulmonary organ gave a syndrome of bilateral pulmonary condensation. The pulmonary radiography notified a bilateral pneumopathy with right scissurite.\par
The research of BAAR in spits was in fructuous. It was the same in the case of cryptocoque research and of some others bacteria in LCR. The CT Scan of lamb rachis sacred aimed some discal protrusions of lamb sacred vertebras L3-L4 ; L4-L5 ; L5-S1 (cf diagram 2) and IRM of 27 th august 2015 showed the inflammatory myelite aspect (cf diagram 1).\par
The HIV serology became positive to HIV1 and the rate of lymphocyte TCD4 was = 118 cell/mm 3 on 31/07/2015 with viral charges of 74782 copies /ml. Under the treatment of antiretroviral and anti biotherapy the process was favorable but it persisted the flask paraplegic despite the reduction sessions. 			\footnote{© 2016 Global Journals Inc. (US)} 		 		\backmatter  			 
\subsection[{IV. Conclusion}]{IV. Conclusion}\par
The neurological manifestations of HIV/AIDS are varied often strong ant more specific. If some of them are of easy diagnostic, others can required an unavailable sophisticated diagnostic under the tropic. They can the revelation of HIV infection. We have to practice the HIV serology before any neurological as paraplegic.			 			  				\begin{bibitemlist}{1}
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\bibitem[Becquet et al. (ed.) ()]{b1}\label{b1} 	 		\textit{Manifestations neurologiques centrales au stade de laprimo-infection par le VIH},  		 			D Becquet 		,  		 			A Mabondzo 		,  		 			P Roques 		,  		 			P Damier 		,  		 			D Felten 		.  		M. DUMAS, C. GIORDANO, M.GENTILINI, F. CHIEZE -Neurologie tropicale. AUPELF-UREF John LibbeyEurotext (ed.)  		1993. Paris. p. .  	 
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\bibitem[Howlett et al. ()]{b2}\label{b2} 	 		‘Missalek WR -Neurological disorders in AIDS and HIV disease in the Northern zone of Tanzania’.  		 			W P Howlett 		,  		 			W M Nkya 		,  		 			K A Mmuni 		.  	 	 		\textit{AIDS}  		1989. 3 p. .  	 
\bibitem[Katlama ()]{b0}\label{b0} 	 		‘Neurological manifestations during HIV infection’.  		 			C - Katlama 		.  	 	 		\textit{Sida, infection à VIH : aspects en zone tropicale. Ellipses/Aupelf},  				1989. p. .  	 
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\end{document}