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| Formato: | Artículo científico |
| Lenguaje: | en |
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Hospital Universitário da Universidade de São Paulo
2012
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| Acceso en línea: | https://www.redalyc.org/articulo.oa?id=576060813003 |
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- Schistosomiasis: a case of severe infection with fatal outcome Cristiane Rúbia Ferreira Fernando Peixoto Ferraz de Campos João Gabriel Ramos João Augusto dos Santos Martines Elizabeth Im Myung Kim Luciana Andréa Avena Smeili Medicina Autopsy Schistosomiasis Hepatic insufficiency Respiratory insufficiency Schistosomiasis is one of the most common parasitic diseases, still considered of public health signi¿cance. Acute schistosomiasis is of dif¿cult diagnosis and therefore has been overlooked, misdiagnosed, underestimated and underreported in endemic areas. The delay between the exposure to contaminated water and the initial symptoms may explain this challenging diagnosis. Acute schistosomiasis is frequently reported in non-immune individuals while reinfection cases occurring in endemic areas is scarcely documented. The later usually shows a benign course but fatal cases do exist. The authors report a case of a young female patient, in the late puerperium, with a three-month history of weight loss, intermittent fever, cough, thoracic and abdominal pain and increased abdominal girth. Physical examination showed a tachycardia, tachypnea and hypotension. Laboratory tests showed a mild anemia, eosinophilia, and a slightly elevation of liver enzymes. Thorax and abdominal multidetector computed tomography evidenced a diffuse and bilateral pulmonary micronodules and peritoneal and intestinal wall thickening. The patient progressed rapidly to hepatic insuf¿ciency, and death after respiratory insuf¿ciency. An autopsy was performed and the ¿ndings were compatible with acute Schistosomiasis in a patient previously exposed to Schistosomamansoni. 2012 artículo científico 2236-1960 https://www.redalyc.org/articulo.oa?id=576060813003 en http://www.redalyc.org/revista.oa?id=5760 Autopsy and Case Reports application/pdf Hospital Universitário da Universidade de São Paulo Autopsy and Case Reports (Brasil) Num.1 Vol.2