肠血吸虫病伴结肠息肉

Nigerian Journal of Medicine Pub Date : 2022-11-01 DOI:10.4103/njm.njm_92_22

N. David, M. Duguru, P. Akpa, P. Davwar, Atta Okwute, J. Makpu, B. Dallang, P. Omaiye, E. Okeke

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引用次数: 0

摘要

血吸虫病是一种寄生虫感染，通常影响肠道。与肠血吸虫病相关的结肠息肉在年轻人中并不常见。我们的病例报告描述了一名来自尼日利亚中北部的20岁男子，他的症状是反复出现大便疏松、粘液样、带血和体重减轻。他的生化特征和粪便检查没有异常。结肠镜检查显示在横结肠和乙状结肠有多处溃疡和息肉。组织病理学显示，在密集炎症的固有层中，有许多良性结肠腺，包括淋巴细胞、嗜酸性粒细胞和组织细胞，有许多血吸虫卵和钙化的寄生体。患者经吡喹酮治疗后，临床表现明显改善。

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Intestinal schistosomiasis with colonic polyps

Schistosomiasis is a parasitic infection which commonly affects the intestine. Colonic polyps associated with intestinal schistosomiasis are not commonly reported in young people. Our case report describes a 20-year-old man from North-Central Nigeria who presented with recurrent passage of loose, mucoid, bloody stool, and weight loss. His biochemical profile and stool tests were unremarkable. A colonoscopy showed multiple ulcers and polyps with ulcerated surfaces in the transverse and sigmoid colon. Histopathology revealed islands of colonic-type mucosa containing numerous benign colonic glands in a densely inflamed lamina propria containing lymphocytes, eosinophils, and histiocytes, with numerous ova and calcified parasite bodies of Schistosoma. The patient was treated with praziquantel and showed marked clinical improvement.

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来源期刊

Nigerian Journal of Medicine

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Nigerian Journal of Medicine publishes articles on socio-economic, political and legal matters related to medical practice; conference and workshop reports and medical news.