Cases reported "schistosomiasis"

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1/160. Spontaneous cervical hematoma: a report of two cases.

    Cervical hematomas are generally associated with trauma, surgery, and tumors. Although they are rare, they can be life-threatening because they put the patient at risk for great-vessel compression and upper airway obstruction. We describe two cases of spontaneous cervical hematoma--one in an 81-year-old man and the other in a 30-year-old woman. The man reported dysphonia, dysphagia, and neck swelling of 5 hours' duration. He had been taking 100 mg/day of aspirin for a cardiovascular condition. Examination revealed that the man had polycythemia vera. The woman was found to have neck ache, odynophagia, and cervical ecchymosis; portal hypertension, schistosomiasis, and blood dyscrasia were also found. Both patients denied trauma. A suspected diagnosis of cervical hematoma was confirmed by computed tomography, and treatment was instituted. The hematomas resolved in about 2 weeks. The treatment of cervical hematoma is controversial, although it is agreed that the evaluation of upper airway obstruction and its permeability is mandatory. Surgical treatment is generally reserved for complicated cases because of the risk of infection or bleeding. ( info)

2/160. Meckel's diverticulitis due to schistosomiasis mansoni.

    An unusual case of schistosomal Meckel's diverticulitis is presented. parasites were subsequently found in either stool or rectal biopsies of three siblings. The possibility of serious sequels makes the early diagnosis of schistosomiasis mansoni often by simple stool and rectal biopsy examination particularly valuable. ( info)

3/160. Renal amyloidosis with nephrotic syndrome in two patients with schistosomiasis mansoni and chronic salmonellosis.

    This report describes two Egyptian patients who presented with the nephrotic syndrome and concurrent infections with schistosoma mansoni and salmonella paratyphi a. Unlike similar cases previously reported from this unit, these patients did not respond to antimicrobial and antischistosomal therapy, and their renal biopsies demonstrated amyloidosis. These two case reports and several experimental observations suggest that chronic schistosomiasis and salmonellosis may lead to secondary amyloidosis in susceptible individuals. ( info)

4/160. Schistosomiasis of the urinary bladder.

    Authors review a case of urinary schistosomiasis, where the process caused left-sided urinary obstruction. Because of the suspicion of a tumor transurethral resection was performed, whereafter the ureter passage became unhindered. Diagnosis became clear upon the histological examination of the resected tissue. Based on the cited literature, reference is made to the mortality rate of the disease in the expanded endemic areas, as well as to the high number of patients at risk. A brief summary is given of the pathology, symptoms, diagnostics of the disease, with mention of differentiation and therapeutic possibilities as well. With regard to importation of the disease, attention is called to the importance of careful anamnesis. ( info)

5/160. The role of corticosteroids in the treatment of cerebral schistosomiasis caused by schistosoma mansoni: case report and discussion.

    A 26-year-old Brazilian man was admitted to The Toronto Hospital with a headache and visual scintillation. His last travel to brazil was five years previously. A computed tomography (CT) scan of the head showed an occipital mass with surrounding vasogenic edema. Occipital brain biopsy revealed schistosoma mansoni eggs. The patient was treated with two doses of praziquantel (20 mg/kg) and dexamethasone (10 mg). His symptoms and occipital mass resolved. Cerebral schistosomiasis is, in part, caused by the host's inflammatory response to Schistosoma. Modes of treatment have included surgical resection, the antiparasitic drugs oxamniquine or praziquantel, and corticosteroids. Corticosteroids may diminish granulomatous inflammation, thereby preventing further tissue destruction, and there is evidence that they also reduce ova deposition. Our review of the literature supports prompt medical therapy in patients with cerebral schistosomiasis. While the minimally or asymptomatic individual may be treated with praziquantel alone, clinicians should consider adjunctive therapy with corticosteroids for patients with prominent neurologic signs or symptoms or mass lesions with evidence of surrounding edema on a CT scan or by magnetic resonance imaging. ( info)

6/160. Ultrasound appearance of schistosomiasis of the testis.

    Schistosomiasis of the testis is rare and its ultrasound findings have not previously been documented in the English medical literature. This case report describes the ultrasound appearances of a case of schistosomiasis of the testis in a 33-year-old male who had recently travelled to egypt. The ultrasound findings are those of a solid testicular mass with a heterogeneous echotexture identical to that of most testicular malignancies. ( info)

7/160. A 'palliative' resection which became potentially curative.

    We report a very unusual case of a woman with rectal cancer, who, at operation, appeared to have peritoneal metastases. An anterior resection was carried out, and subsequent histology showed the rectal tumour to be a well-differentiated Dukes' B adenocarcinoma, which had been completely excised. The apparent 'metastases' were found to be schistosomal granulomas and there was also a schistosomal granuloma within the tumour. ( info)

8/160. Schistosomiasis of spinal cord and skin.

    We record the simultaneous occurrence of cutaneous and spinal cord lesions of schistosomiasis and speculate upon the mode of this distant spread. ( info)

9/160. Localized papular cutaneous schistosomiasis: two cases in travellers.

    Schistosomiasis is endemic in many parts of the tropics and subtropics with an estimated 200 million people, at least, infected worldwide. The symptoms and signs of vesical and gastrointestinal forms are readily recognized but ectopic forms are rare even in endemic areas and present a greater diagnostic challenge, particularly when they are encountered in nontropical climes. We now report two cases of cutaneous schistosomiasis presenting in Edinburgh with subtle, but remarkably similar, skin lesions. ( info)

10/160. infarction of testicle and schistosoma mansoni.

    The first case of clinical involvement and infarction of the testes caused the schistosoma mansoni is reported. Although a rare rhenomenon, one must consider this in the differential diagnosis of testicular disease in patients who have resided in endemic areas of S. mansoni. ( info)
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