Schistosoma mansoni Eggs in Spleen and Lungs, Mimicking Other Diseases

  According to the authors, ectopic locations probably derive from a high parasite burden, causing portal hypertension and subsequent embolization of the parasite eggs through the collateral portal-systemic circulation [2]. The description of the latter, published cases, was crucial to spare an unne...

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Bibliographic Details
Published in:PLoS neglected tropical diseases 2015-07, Vol.9 (7), p.e0003860
Main Authors: Gobbi, Federico, Martelli, Giulia, Attard, Luciano, Buonfrate, Dora, Angheben, Andrea, Marchese, Valentina, Bortesi, Laura, Gobbo, Maria, Vanino, Elisa, Viale, Pierluigi, Bisoffi, Zeno
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Eggs
Funding
Infections
Laboratories
Lungs
Ostomy
Parasites
Parasitic diseases
Patients
Symposium
Tropical diseases
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Description
Summary:  According to the authors, ectopic locations probably derive from a high parasite burden, causing portal hypertension and subsequent embolization of the parasite eggs through the collateral portal-systemic circulation [2]. The description of the latter, published cases, was crucial to spare an unnecessary splenectomy to a further patient seen at CTD, Negrar by some of us [20]. Besides a clinical suspicion of loiasis (hypereosinophilia, Calabar swelling), not confirmed by laboratory identification, the latter patient also presented multiple hypoechogenic lesions of the spleen that completely disappeared (along with the eosinophilia and the other clinical signs) a few weeks after presumptive treatment of L. loa infection with diethylcarbamazine DEC [20].
ISSN:1935-2735
1935-2727
1935-2735
DOI:10.1371/journal.pntd.0003860