Document Detail

Three cases of schistosomiasis mekongi from northern Laos.
MedLine Citation:
PMID:  6334449     Owner:  NLM     Status:  MEDLINE    
Three cases of intestinal schistosomiasis acquired in northern Laos are reported. All three patients swam regularly for many years in the Mekong River near the cities of Vientiane and Luang Prabang. Morphology of the eggs found on rectal biopsy indicated infection with Schistosoma mekongi. One patient had severe portal hypertension with bleeding esophageal varices requiring a splenorenal shunt; studies of her liver biopsy showed S. mekongi eggs and periportal fibrosis. A second patient had abnormal liver function tests, and a third patient was asymptomatic. In two of the three cases, no schistosome eggs were found on stool examination, and the diagnosis was made by rectal biopsy. The implications of this new focus of infection are discussed.
R Wittes; J D MacLean; C Law; J O Lough
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  33     ISSN:  0002-9637     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  1984 Nov 
Date Detail:
Created Date:  1985-01-14     Completed Date:  1985-01-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1159-65     Citation Subset:  AIM; IM    
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MeSH Terms
Asia, Southeastern
Esophageal and Gastric Varices / etiology
Gastrointestinal Hemorrhage / etiology
Hypertension, Portal / etiology
Liver / parasitology,  pathology
Middle Aged
Praziquantel / therapeutic use
Schistosoma japonicum
Schistosomiasis / complications,  drug therapy,  parasitology,  pathology*
Snails / parasitology
Reg. No./Substance:

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