Nature clinical practice. Gastroenterology & hepatology · 2006
Schistosomal colitis without granuloma formation in a kidney transplant recipient.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Mudawi Hatim M Y, Elhassan Elwaleed A M, Baraka Omer Z, El Hassan Ahmed M
Аннотация
BACKGROUND: A 40-year-old male from the White Nile region in Sudan, who had received a kidney transplant 6 years previously, presented with fever, lower abdominal pain and diarrhea stained with blood of 5 months duration. He was on immunosuppressive maintenance therapy, consisting of ciclosporin 75 mg twice daily, prednisolone 10 mg once daily, and azathioprine 75 mg once daily.
INVESTIGATIONS: Laboratory investigations, liver function tests, renal function tests, stool microscopy, stool culture, abdominal ultrasound, and colonoscopy.
DIAGNOSIS: Severe, left-sided colitis due to Schistosoma mansoni infection, without granuloma formation.
MANAGEMENT: Oral antischistosomal therapy with praziquantel at a dose of 40 mg/kg body weight.
INVESTIGATIONS: Laboratory investigations, liver function tests, renal function tests, stool microscopy, stool culture, abdominal ultrasound, and colonoscopy.
DIAGNOSIS: Severe, left-sided colitis due to Schistosoma mansoni infection, without granuloma formation.
MANAGEMENT: Oral antischistosomal therapy with praziquantel at a dose of 40 mg/kg body weight.