Chronic intestinal schistosomiasis caused by co-infection with Schistosoma intercalatum and Schistosoma mansoni

The Grand Round concerns a 24-year-old man from Zimbabwe who was studying and living in Poland. The patient had been complaining of abdominal pain, fatigue, alternating diarrhoea and constipation, and presence of blood in his stool for 3 years. The patient had the following diagnostic tests: colonos...

Full description

Saved in:
Bibliographic Details
Published inThe Lancet infectious diseases Vol. 24; no. 3; pp. e196 - e205
Main Authors Kołodziej, Przemysław, Szostakowska, Beata, Lass, Anna, Sulima, Małgorzata, Sikorska, Katarzyna, Kocki, Janusz, Krupski, Witold, Starownik, Dorota, Bojar, Paweł, Szumiło, Justyna, Kasztelan-Szczerbińska, Beata, Cichoż-Lach, Halina, Bogucki, Jacek, Szymańska, Magdalena, Fota-Markowska, Hanna, Bogucka-Kocka, Anna
Format Journal Article
LanguageEnglish
Published United States Elsevier Ltd 01.03.2024
Elsevier Limited
Subjects
Abdomen
Antibodies
Calcification
Chronic illnesses
Chronic infection
Colon
Colonoscopy
Computed tomography
Constipation
Diarrhea
Disease management
Endoscopy
Histopathology
Hypertension
Infections
Intestine
Liver
Medical imaging
Parasitic diseases
Patients
Praziquantel
Protozoa
Ribosomal DNA
Schistosoma
Schistosoma mansoni
Schistosomiasis
Swimming
Tropical diseases
Poland
United States > US
Zimbabwe
Online AccessGet full text

Cover

More Information
Summary:The Grand Round concerns a 24-year-old man from Zimbabwe who was studying and living in Poland. The patient had been complaining of abdominal pain, fatigue, alternating diarrhoea and constipation, and presence of blood in his stool for 3 years. The patient had the following diagnostic tests: colonoscopy, CT scan, histopathology, and parasitological and molecular tests. Results of the examinations showed that the cause of the patient's complaints was chronic intestinal schistosomiasis due to the co-infection with Schistosoma intercalatum and Schistosoma mansoni. The patient had two cycles of praziquantel therapy (Biltricide) and responded well to the treatment. In the Grand Round, we describe full diagnostics as well as clinical and therapeutic management in the patient with S intercalatum and S mansoni co-infection. This case allows us to draw attention to cases of forgotten chronic tropical diseases (including rare ones) in patients from regions with a high endemic index staying in non-endemic regions of the world for a long time. Co-infection with S intercalatum and S mansoni should be considered as a very rare clinical case.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Review-3
content type line 23
ObjectType-Feature-5
ObjectType-Article-4
ObjectType-Report-1
ISSN:1473-3099
1474-4457
DOI:10.1016/S1473-3099(23)00486-3