Parasites, Hosts and Diseases

"hematochezia"

Case Report

Intestinal Paragonimiasis with Colonic Ulcer and Hematochezia in An Elderly Taiwanese Woman: Chung-Te Liu, Yen-Cheng Chen, Tso-Hsiao Chen, Ursula Barghouth, Chia-Kwung Fan; Korean J Parasitol 2012;50(4):349-352.
Published online November 26, 2012; DOI: https://doi.org/10.3347/kjp.2012.50.4.349

Abstract
PDF

A 94-year-old female with end-stage renal disease presents with fever, fatigue, and hematochezia. She had previously resided in Hunan Province, China, and Myanmar, and she immigrated to Taiwan 30 years ago. Colonoscopy revealed a colonic ulcer. Biopsy of the colonic ulcer showed ulceration of the colonic mucosa, and many Paragonimus westermani-like eggs were noted. Serum IgG antibody levels showed strong reactivity with P. westermani excretory-secretory antigens by ELISA. Intestinal paragonimiasis was thus diagnosed according to the morphology of the eggs and serologic finding. After treatment with praziquantel, hematochezia resolved. The present case illustrates the extreme manifestations encountered in severe intestinal paragonimiasis.

Citations

Citations to this article as recorded by

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