Cargando…
Pulmonary Hypertension as a Primary Presentation for Schistosomiasis, a Case Report of Unusual Presentation
The combination of schistosomiasis and pulmonary hypertension (PH) was always recognized as a very rare one; in medical literature, PH is considered as a manifestation of hepatosplenic schistosomiasis but not a manifestation of schistosomal infection until recently. Only 18.5% of patients that have...
Autor principal: | |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688886/ https://www.ncbi.nlm.nih.gov/pubmed/31398724 http://dx.doi.org/10.1093/omcr/omz073 |
_version_ | 1783442958902624256 |
---|---|
author | Hussein, Mogahed Ismail Hassan |
author_facet | Hussein, Mogahed Ismail Hassan |
author_sort | Hussein, Mogahed Ismail Hassan |
collection | PubMed |
description | The combination of schistosomiasis and pulmonary hypertension (PH) was always recognized as a very rare one; in medical literature, PH is considered as a manifestation of hepatosplenic schistosomiasis but not a manifestation of schistosomal infection until recently. Only 18.5% of patients that have a documented hepatosplenic schistosomiasis were found with PH. Schistosomiasis rarely causes PH without evident hepatosplenic manifestations. Here, we are reporting a case of a patient whose first clinical presentation was features of PH. We use this case as an opportunity to outline pathological mechanisms, causes and classification of PH. A structured and thorough workup for PH is emphasized. It is important to exclude all other secondary causes to be able to diagnose primary PH especially in the absence of a positive family history and advanced diagnostic technology. |
format | Online Article Text |
id | pubmed-6688886 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-66888862019-08-14 Pulmonary Hypertension as a Primary Presentation for Schistosomiasis, a Case Report of Unusual Presentation Hussein, Mogahed Ismail Hassan Oxf Med Case Reports Case Report The combination of schistosomiasis and pulmonary hypertension (PH) was always recognized as a very rare one; in medical literature, PH is considered as a manifestation of hepatosplenic schistosomiasis but not a manifestation of schistosomal infection until recently. Only 18.5% of patients that have a documented hepatosplenic schistosomiasis were found with PH. Schistosomiasis rarely causes PH without evident hepatosplenic manifestations. Here, we are reporting a case of a patient whose first clinical presentation was features of PH. We use this case as an opportunity to outline pathological mechanisms, causes and classification of PH. A structured and thorough workup for PH is emphasized. It is important to exclude all other secondary causes to be able to diagnose primary PH especially in the absence of a positive family history and advanced diagnostic technology. Oxford University Press 2019-08-10 /pmc/articles/PMC6688886/ /pubmed/31398724 http://dx.doi.org/10.1093/omcr/omz073 Text en © The Author(s) 2019. Published by Oxford University Press. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Hussein, Mogahed Ismail Hassan Pulmonary Hypertension as a Primary Presentation for Schistosomiasis, a Case Report of Unusual Presentation |
title | Pulmonary Hypertension as a Primary Presentation for Schistosomiasis, a Case Report of Unusual Presentation |
title_full | Pulmonary Hypertension as a Primary Presentation for Schistosomiasis, a Case Report of Unusual Presentation |
title_fullStr | Pulmonary Hypertension as a Primary Presentation for Schistosomiasis, a Case Report of Unusual Presentation |
title_full_unstemmed | Pulmonary Hypertension as a Primary Presentation for Schistosomiasis, a Case Report of Unusual Presentation |
title_short | Pulmonary Hypertension as a Primary Presentation for Schistosomiasis, a Case Report of Unusual Presentation |
title_sort | pulmonary hypertension as a primary presentation for schistosomiasis, a case report of unusual presentation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688886/ https://www.ncbi.nlm.nih.gov/pubmed/31398724 http://dx.doi.org/10.1093/omcr/omz073 |
work_keys_str_mv | AT husseinmogahedismailhassan pulmonaryhypertensionasaprimarypresentationforschistosomiasisacasereportofunusualpresentation |