A Case of Schistosomiasis Suspected by Circumoval Precipitin Test and Diagnosed by Rectal Biopsy

• NISHIYA Hajime

  Second Department of Internal Medicine, University of Teikyo

• MAEDA Ryuichiro

  Department of Parasitology, University of Teikyo

• HOSHINO Etsuo

  Second Department of Internal Medicine, University of Teikyo

• ONO Yasuo

  Second Department of Internal Medicine, University of Teikyo

• KUNII Otohiko

  Second Department of Internal Medicine, University of Teikyo

• MIYASHITA Hideo

  Second Department of Internal Medicine, University of Teikyo

• ARAKI Kunioki

  Department of Microbiology, Institute of Public Health

• SHIBUYA Toshiro

  Department of Parasitology, University of Teikyo

Bibliographic Information

Other Title

• 卵周囲沈降反応で疑い大腸生検組織で確診したマンソン住血吸虫症の1例

Abstract

A forty-year-old female from Brazil was admitted to Teikyo Hospital because of easy fatigability, fullness of the abdomen and left hyochondralgia. She was anxious about Schistosoma mansoni infection, because three of her relatives died of the infection. Physical examinations revealed a tenderness at the left hypochondrium. Laboratory data showed no abnormal finding. No egg of S. mansoni was found in the stool.<BR>A circumoval precipitin test (COPT) with the serum showed a deposite around the egg. Enzyme-linked immunosorbent assay (ELISA) revealed the presence of antibody against S. mansoni in the serum. A colonoscopy showed no abnormal finding macroscopically. The rectal biopsy showed the existence of mild procitis. The diagnosis was made by finding the characteristic lateral-spined eggs in the biopsy specimens from the rectum. Treatment of 3 g of prazicantel per day for three days was started. She complained of mild nausea at the first dosing. A month later, another three-day-treatment was given. In the case where there are no eggs found in the stool, COPT and ELISA are usefull in detecting the disease, and colonoscopy is recommended in diagnosing the disease.

Journal

• Kansenshogaku Zasshi

  Kansenshogaku Zasshi 70 (3), 255-258, 1996

  The Japanese Association for Infectious Diseases

Keywords

• General Medicine

Details

• CRID: 1390001205046551040
• NII Article ID: 130004330455
• NII Article ID: 10008722745
• NII Book ID: AN00047715
• DOI: 10.11150/kansenshogakuzasshi1970.70.255
• ISSN: 1884569X
• ISSN: 03875911
• PubMed: 8621968
• Web Site: https://search.jamas.or.jp/link/ui/1996229140
• Data Source:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• Abstract License Flag: Disallowed