Schistosomiasis: predisposing cause for the formation of hepatic abscesses? Case report

An adult patient with chronic schistosomiasis from an endemic area, complained about a seven day fever, along with jaundice and lumbar backache on the right side. Image exams showed multiple pyogenic liver abscesses. All the classic etiologies were discarded through clinical, radiological and labora...

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Bibliographic Details
Published in:Revista do Instituto de Medicina Tropical de São Paulo 1995-06, Vol.37 (3), p.277-280
Main Authors: de Lima, V C, Maluf, F C
Format: Article
Language:eng ; por
Subjects:
Chronic Disease
Humans
Liver Abscess - etiology
Male
Middle Aged
Schistosomiasis - complications
Staphylococcal Infections - complications
TROPICAL MEDICINE
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Summary:An adult patient with chronic schistosomiasis from an endemic area, complained about a seven day fever, along with jaundice and lumbar backache on the right side. Image exams showed multiple pyogenic liver abscesses. All the classic etiologies were discarded through clinical, radiological and laboratorial criteria. Schistosomiasis can cause pylephlebitis as a complication, along with immunesuppression, granulomatous reaction with central lobular liver necrosis and a greater risk of infection. The authors suggest that schistosomiasis in its chronic form may be the predisposing cause of multiple pyogenic liver abscesses, especially in endemic areas.
ISSN:0036-4665
1678-9946
1678-9946
0036-4665
DOI:10.1590/s0036-46651995000300017