Akhtar Muhammed M, ALJuhani Nasser, Younus Donia, ALSahafi Ashwag H, Abouhamda Ayman
Department of Internal Medicine, East Jeddah Hospital, Jeddah, SAU.
Department of Internal Medicine and Endocrinology, East Jeddah Hospital, Jeddah, SAU.
Cureus. 2020 Nov 28;12(11):e11755. doi: 10.7759/cureus.11755.
Schistosomiasis (bilharziasis) is a common parasitic disease in subtropical and tropical parts of Africa, some parts of the Middle East, South America, Asia, and some parts of the Caribbean. It is a major public health problem and associated with significant morbidity and mortality in endemic areas. We describe a 28-year-old male patient presenting with bleeding per rectum associated with mucus secretion, abdominal pain, anorexia, and weight loss. Blood investigation showed pancytopenia with macrocytic hypochromic anemia. Meanwhile, his colonoscopy showed two large polyps 10 cm and 50 cm away from the anal verge, each measuring 3 cm in size. Microscopic examination of multiple colonic biopsies confirmed . The patient was treated with praziquantel, which improved his condition. Colonic schistosomiasis is an important differential diagnosis in patients with a history of travel to endemic areas. Early diagnosis and medical management can avoid unnecessary invasive intervention in such cases.
血吸虫病（裂体吸虫病）是非洲亚热带和热带地区、中东部分地区、南美洲、亚洲以及加勒比部分地区常见的寄生虫病。它是一个主要的公共卫生问题，在流行地区会导致显著的发病率和死亡率。我们描述了一名28岁男性患者，出现直肠出血并伴有黏液分泌、腹痛、厌食和体重减轻。血液检查显示全血细胞减少伴大细胞低色素性贫血。同时，他的结肠镜检查显示距肛缘10厘米和50厘米处有两个大息肉，每个息肉大小为3厘米。多次结肠活检的显微镜检查证实了……该患者接受了吡喹酮治疗，病情有所改善。结肠血吸虫病是有疫区旅行史患者的重要鉴别诊断。早期诊断和药物治疗可以避免此类病例中不必要的侵入性干预。
