Chronic Schistosomiasis as a Cause of Abdominal Pain
Author Information
Author(s): Kathir G. Yoganathan, Tom J. McManus
Primary Institution: Department of Genito-Urinary Medicine, King's College Hospital, London, United Kingdom
Hypothesis
Chronic schistosomiasis should be considered in the differential diagnosis of chronic lower abdominal pain in women from endemic areas.
Conclusion
The case highlights the need for physicians to consider chronic schistosomiasis in patients with unexplained chronic abdominal pain who have a history of travel to endemic regions.
Supporting Evidence
- The patient had a negative STD screen and sterile urine cultures.
- A rectal biopsy revealed a non-necrotizing granulomatous reaction around the ova of Schistosoma.
- Symptoms resolved after treatment with anti-schistosomiasis therapy.
Takeaway
A woman had stomach pain that turned out to be caused by a rare infection from a parasite found in certain countries. After treatment, her pain went away.
Methodology
The case study involved clinical examination, STD screening, rectal biopsy, and treatment with praziquantel.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 37-year-old woman from St. Lucia who emigrated to the UK.
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