Published: 20 February 2020
Author(s): Tommaso Lupia, Valentina Libanore, Francesco Giuseppe De Rosa
Section: Internal Medicine Flashcard

A 24-years old male complained new-onset urinary retention during a return flight from a 1-month trip to Thailand, needed to be urgently catheterized. His past medical history was unremarkable. He is a seasonal worker in vineyards in France and left for Thailand in early September as a volunteer in a kennel. During his journey, he remains free of any symptom but for two isolated episode of diarrhea, upon the arrival in a dog-house. After the landing, he was promptly admitted to our Infectious Diseases Unit: neurological examination reported a symmetrical flaccid paralysis of the lower limbs with hyporeflexia, hypoesthesia, a thoracic sensory level on T4-T5 with both urinary and feces retention.

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