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- W2911604096 abstract "FigurePurpose: Schistosomiasis is a common parasitic disease in the tropical and subtropical regions of Asia, Africa and South America. The disease is caused by a parasitic blood fluke that resides in fresh water. We report a case of a 24 year old male from Ghana without previous bowel problems, who presented with a history of diarrhea of six months duration. The diarrhea was non-bloody and watery in nature with an estimated frequency of four to six episodes per day, associated with rectal tenesmus, abdominal discomfort and a five lbs weight loss. There was no history of fever, arthralgias, skin lesions or visual symptoms. Physical examination was remarkable for mild abdominal tenderness located primarily in the hypogastrium with no rebound. Laboratory studies including a complete blood cell count, chemistries and stool studies for ova and parasites were unrevealing. Colonoscopy performed subsequently showed erythematous mucosa of the distal sigmoid colon and the rectum. [figure1] Histological examination of rectosigmoid biopsy showed multiple giant cell granulomas and a single Schistosoma egg with a terminal spine. [figure2] Biopsies obtained from the remainder of the colon and terminal ileum were within normal limits. Patient was treated with a single dose of Praziquantal (40 mg/kg) with complete resolution of symptoms. Thus, we conclude that even though schistosomiasis is not endemic in the United States, it should be considered in the differential diagnosis of patients with gastrointestinal symptoms, particularly in travelers and former residents of endemic areas.Figure" @default.
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- W2911604096 date "2007-09-01" @default.
- W2911604096 modified "2023-10-18" @default.
- W2911604096 title "Chronic Intestinal Schistosomiasis" @default.
- W2911604096 doi "https://doi.org/10.14309/00000434-200709002-00791" @default.
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