An Atypical Presentation of Acute Schistosomiasis
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25754/pjp.2022.24161 |
Resumo: | Schistosomiasis is a usually imported, rare disease in developed countries. The schistosome life cycle has three phases in the human host, each one usually associated with different clinical symptoms. We report a case of a male adolescent presenting with periorbital and facial edema, with no other symptoms or findings during physical examination. Laboratory investigation revealed hypereosinophilia. A thorough medical history, revealed that he travelled through several African countries and practiced freshwater activities the month before. Serologic test for Schistosoma mansoni was positive. He successfully was treated with praziquantel. We intent to alert for the challenges of schistosomiasis diagnosis and to present, to our knowledge, the first pediatric case presenting with angioedema. An exhaustive anamnesis and the finding of eosinophilia were fundamental for raising the suspicion. Serologic tests may be necessary for diagnosis since microscopic test have low sensitivity. Treatment with praziquantel avoided progression of the disease and further complications. |
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7160 |
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An Atypical Presentation of Acute SchistosomiasisCase reportsSchistosomiasis is a usually imported, rare disease in developed countries. The schistosome life cycle has three phases in the human host, each one usually associated with different clinical symptoms. We report a case of a male adolescent presenting with periorbital and facial edema, with no other symptoms or findings during physical examination. Laboratory investigation revealed hypereosinophilia. A thorough medical history, revealed that he travelled through several African countries and practiced freshwater activities the month before. Serologic test for Schistosoma mansoni was positive. He successfully was treated with praziquantel. We intent to alert for the challenges of schistosomiasis diagnosis and to present, to our knowledge, the first pediatric case presenting with angioedema. An exhaustive anamnesis and the finding of eosinophilia were fundamental for raising the suspicion. Serologic tests may be necessary for diagnosis since microscopic test have low sensitivity. Treatment with praziquantel avoided progression of the disease and further complications.A schistosomíase é uma doença rara, habitualmente importada em países desenvolvidos. O ciclo de vida do schistosoma tem três fases no hospedeiro humano, associadas a diferentes sinais e sintomas. Reportamos o caso de um adolescente com edema periorbitário e facial, sem outros sinais ou sintomas. A avaliação laboratorial mostrou eosinofilia. Uma história clínica exaustiva, revelou que o adolescente tinha viajado para vários países africanos com prática de atividades aquáticas, no mês prévio. A avaliação serológica para Schistosoma mansoni foi positiva. Foi tratado com praziquantel, com total remissão dos sintomas. Pretendemos alertar para o desafio diagnóstico da schistosomíase sendo este, até à data, no nosso conhecimento, o primeiro caso pediátrico que se apresenta com angioedema. Uma anamnese exaustiva e a eosinofilia foram fundamentais a suspeição diagnóstica. A serologia pode ser necessária, uma vez que os testes microscópicos têm baixa sensibilidade. O tratamento com praziquantel previne a progressão e complicações desta doença.Sociedade Portuguesa de Pediatria2022-01-24info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2022.24161eng2184-44532184-3333Jorge Antunes, JoanaSilva Dias, SusanaMoura Antunes, SofiaMartins, Mafaldainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:58:18Zoai:ojs.revistas.rcaap.pt:article/24161Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:38.222912Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
An Atypical Presentation of Acute Schistosomiasis |
title |
An Atypical Presentation of Acute Schistosomiasis |
spellingShingle |
An Atypical Presentation of Acute Schistosomiasis Jorge Antunes, Joana Case reports |
title_short |
An Atypical Presentation of Acute Schistosomiasis |
title_full |
An Atypical Presentation of Acute Schistosomiasis |
title_fullStr |
An Atypical Presentation of Acute Schistosomiasis |
title_full_unstemmed |
An Atypical Presentation of Acute Schistosomiasis |
title_sort |
An Atypical Presentation of Acute Schistosomiasis |
author |
Jorge Antunes, Joana |
author_facet |
Jorge Antunes, Joana Silva Dias, Susana Moura Antunes, Sofia Martins, Mafalda |
author_role |
author |
author2 |
Silva Dias, Susana Moura Antunes, Sofia Martins, Mafalda |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Jorge Antunes, Joana Silva Dias, Susana Moura Antunes, Sofia Martins, Mafalda |
dc.subject.por.fl_str_mv |
Case reports |
topic |
Case reports |
description |
Schistosomiasis is a usually imported, rare disease in developed countries. The schistosome life cycle has three phases in the human host, each one usually associated with different clinical symptoms. We report a case of a male adolescent presenting with periorbital and facial edema, with no other symptoms or findings during physical examination. Laboratory investigation revealed hypereosinophilia. A thorough medical history, revealed that he travelled through several African countries and practiced freshwater activities the month before. Serologic test for Schistosoma mansoni was positive. He successfully was treated with praziquantel. We intent to alert for the challenges of schistosomiasis diagnosis and to present, to our knowledge, the first pediatric case presenting with angioedema. An exhaustive anamnesis and the finding of eosinophilia were fundamental for raising the suspicion. Serologic tests may be necessary for diagnosis since microscopic test have low sensitivity. Treatment with praziquantel avoided progression of the disease and further complications. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-24 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2022.24161 |
url |
https://doi.org/10.25754/pjp.2022.24161 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799133525774958592 |