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Progressive meningoencephalitis in a Sudanese immigrant

Adam P Liu, Shaun Chou, Lavier Gomes, Thomas Ng, Elizabeth L Salisbury, Grant L Walker and Donald R Packham
Med J Aust 2010; 192 (7): 413-416.

A 24-year-old woman presented to hospital in May 2009 after two generalised seizures with focal motor onset involving the right arm and leg. She had a 2-month history of intermittent frontal headaches and twitching of the right hand that did not interfere with usual activities. Her family had noticed she had lost weight. The patient was originally from the Eastern Equatoria province in southern Sudan and spent 12 years in a Ugandan refugee camp before migrating to Australia in 2007 with her family. Her only significant past medical history was malaria. Her family were in good health.

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  • Adam P Liu1
  • Shaun Chou1
  • Lavier Gomes1,2
  • Thomas Ng1,3,0
  • Elizabeth L Salisbury3
  • Grant L Walker1
  • Donald R Packham1

  • 1 Westmead Hospital, Sydney, NSW.
  • 2 Sydney Medical School, University of Sydney, Sydney, NSW.
  • 3 Department of Pathology, University of Western Sydney, Sydney, NSW.


Acknowledgements: 

We thank Dr Pere P Simarro (Innovative and Intensified Disease Management Program, Control of Neglected Tropical Diseases Unit of the World Health Organization, Geneva, Switzerland) for providing eflornithine. Both eflornithine and nifurtimox can now be obtained from the WHO. We also thank the patient for permission to report her story.

Competing interests:

None identified.

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