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Schistosomiasis Mansoni Manifesting as Multiple Colonic Polyps

Schistosomiasis (bilharziasis) is a common parasitic disease in subtropical and tropical parts of Africa, some parts of the Middle East, South America, Asia, and some parts of the Caribbean. It is a major public health problem and associated with significant morbidity and mortality in endemic areas....

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Autores principales: Akhtar, Muhammed M, ALJuhani, Nasser, Younus, Donia, ALSahafi, Ashwag H, Abouhamda, Ayman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7707126/
https://www.ncbi.nlm.nih.gov/pubmed/33269178
http://dx.doi.org/10.7759/cureus.11755
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author Akhtar, Muhammed M
ALJuhani, Nasser
Younus, Donia
ALSahafi, Ashwag H
Abouhamda, Ayman
author_facet Akhtar, Muhammed M
ALJuhani, Nasser
Younus, Donia
ALSahafi, Ashwag H
Abouhamda, Ayman
author_sort Akhtar, Muhammed M
collection PubMed
description Schistosomiasis (bilharziasis) is a common parasitic disease in subtropical and tropical parts of Africa, some parts of the Middle East, South America, Asia, and some parts of the Caribbean. It is a major public health problem and associated with significant morbidity and mortality in endemic areas. We describe a 28-year-old male patient presenting with bleeding per rectum associated with mucus secretion, abdominal pain, anorexia, and weight loss. Blood investigation showed pancytopenia with macrocytic hypochromic anemia. Meanwhile, his colonoscopy showed two large polyps 10 cm and 50 cm away from the anal verge, each measuring 3 cm in size. Microscopic examination of multiple colonic biopsies confirmed Schistosoma mansoni. The patient was treated with praziquantel, which improved his condition. Colonic schistosomiasis is an important differential diagnosis in patients with a history of travel to endemic areas. Early diagnosis and medical management can avoid unnecessary invasive intervention in such cases.
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spelling pubmed-77071262020-12-01 Schistosomiasis Mansoni Manifesting as Multiple Colonic Polyps Akhtar, Muhammed M ALJuhani, Nasser Younus, Donia ALSahafi, Ashwag H Abouhamda, Ayman Cureus Internal Medicine Schistosomiasis (bilharziasis) is a common parasitic disease in subtropical and tropical parts of Africa, some parts of the Middle East, South America, Asia, and some parts of the Caribbean. It is a major public health problem and associated with significant morbidity and mortality in endemic areas. We describe a 28-year-old male patient presenting with bleeding per rectum associated with mucus secretion, abdominal pain, anorexia, and weight loss. Blood investigation showed pancytopenia with macrocytic hypochromic anemia. Meanwhile, his colonoscopy showed two large polyps 10 cm and 50 cm away from the anal verge, each measuring 3 cm in size. Microscopic examination of multiple colonic biopsies confirmed Schistosoma mansoni. The patient was treated with praziquantel, which improved his condition. Colonic schistosomiasis is an important differential diagnosis in patients with a history of travel to endemic areas. Early diagnosis and medical management can avoid unnecessary invasive intervention in such cases. Cureus 2020-11-28 /pmc/articles/PMC7707126/ /pubmed/33269178 http://dx.doi.org/10.7759/cureus.11755 Text en Copyright © 2020, Akhtar et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Akhtar, Muhammed M
ALJuhani, Nasser
Younus, Donia
ALSahafi, Ashwag H
Abouhamda, Ayman
Schistosomiasis Mansoni Manifesting as Multiple Colonic Polyps
title Schistosomiasis Mansoni Manifesting as Multiple Colonic Polyps
title_full Schistosomiasis Mansoni Manifesting as Multiple Colonic Polyps
title_fullStr Schistosomiasis Mansoni Manifesting as Multiple Colonic Polyps
title_full_unstemmed Schistosomiasis Mansoni Manifesting as Multiple Colonic Polyps
title_short Schistosomiasis Mansoni Manifesting as Multiple Colonic Polyps
title_sort schistosomiasis mansoni manifesting as multiple colonic polyps
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7707126/
https://www.ncbi.nlm.nih.gov/pubmed/33269178
http://dx.doi.org/10.7759/cureus.11755
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