[Peranal bleeding and elevated liver function tests in a 33year-old refugee from Nigeria]. / Peranaler Blutabgang und erhöhte Leberwerte bei einem 33jährigen Flüchtling aus Nigeria.
Internist (Berl)
; 57(8): 811-4, 2016 Aug.
Article
em De
| MEDLINE
| ID: mdl-27167633
ABSTRACT
A 33-year-old refugee from Nigeria, who had been living in Germany for 1 year, was admitted to the hospital due to pelvic pain, peranal hemorrhage, and an unexplained increase in transaminase levels. As the liver screening tests, sonography findings, and colonoscopy were normal, a liver biopsy was performed that revealed Schistosoma mansoni worm eggs as an unexpected diagnostic finding. Serological tests for specific antibodies and parasitological egg detection in the stool confirmed the diagnosis. After only temporary response to a short-term and low-dose treatment with praziquantel, a 3-day high-dose (40 mg/kg body weight) treatment with praziquantel finally led to long-lasting symptom relief.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças do Ânus
/
Praziquantel
/
Esquistossomose mansoni
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Hemorragia
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Hepatopatias
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
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Male
País/Região como assunto:
Africa
Idioma:
De
Revista:
Internist (Berl)
Ano de publicação:
2016
Tipo de documento:
Article