Year 2024 / Volume 116 / Number 10
Letter
Hepatosplenic schistosomiasis: an uncommon cause of liver disease in developed countries

566-567

DOI: 10.17235/reed.2023.10036/2023

Álvaro Yagüe Parada, Rocío Calvo Hernández, Marta León del Campo, Montserrat López Carreira, Sara Aurora Rodríguez Vargas,

Abstract
Schistosomiasis is a parasitic infection caused by trematode species of the genus Schistosoma. It is prevalent in tropical regions of Africa, Asia and South America, being rare in Europe, where it is usually diagnosed in immigrants and tourists from endemic areas. It has different clinical forms of presentation. Hepatosplenic schistosomiasis produces periportal fibrosis, which can progress to presinusoidal portal hypertension, with all its associated complications. We present the case of a 43-year-old female patient from the Philippines who was referred to gastroenterology consultation due to liver enzyme alteration with a predominantly cholestatic pattern. An aetiological study was performed, with negative results. An abdominal ultrasound revealed signs of chronic liver disease, with transient elastography of 9.5 kPa. A percutaneous liver biopsy was performed, with histological findings consistent with infestation by schistosome eggs, receiving treatment with praziquantel and subsequently verifying its eradication with a stool test.
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09/10/2024 21:49:46
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References
1. Tamarozzi F, Fittipaldo VA, Orth HM, Richter J, Buonfrate D, Riccardi N, Gobbi FG. Diagnosis and clinical management of hepatosplenic schistosomiasis: A scoping review of the literature. PLoS Negl Trop Dis. 2021 Mar 25;15(3):e0009191.
2. Colley DG, Bustinduy AL, Secor WE, King CH. Human schistosomiasis. Lancet. 2014 Jun 28;383(9936):2253-64.
3. Andrade ZA. Schistosomiasis and liver fibrosis. Parasite Immunol. 2009 Nov;31(11):656-63.
4. Richter J, Hatz C, Campagne G, Bergquist N, Jenkins J. Ultrasound in Schistosomiasis: A Practical Guide to the Standardized Use of Ultrasonography for the Assessment of Schistosomiasis-related Morbidity. Geneva, Switzerland: World Health Organization; 2000.
5. Borrella Gras AJ, Gómez Rubio M, Olazarán Narváez IM, Castellanos González M. Hepatosplenic schistosomiasis: a rare cause of chronic liver disease with portal hypertension diagnosed by abdominal ultrasound. Rev Esp Enferm Dig. 2022 Jan;114(1):47-48. doi: 10.17235/reed.2021.8086/2021. PMID: 34210145.
Citation tools
Yagüe Parada Á, Calvo Hernández R, León del Campo M, López Carreira M, Rodríguez Vargas S. Hepatosplenic schistosomiasis: an uncommon cause of liver disease in developed countries. 10036/2023


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Publication history

Received: 23/10/2023

Accepted: 31/10/2023

Online First: 20/11/2023

Published: 09/10/2024

Article Online First time: 28 days

Article editing time: 352 days


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