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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2017; 08(02): 083-085
DOI: 10.4103/jde.JDE_52_16
Case Report
Journal of Digestive Endoscopy

Acute Schistosomal Colitis Preceded by Katayama Syndrome

Sarra Osman Elamin Bushara
Department of Medicine, Faculty of Medicine, Nile Valley University, Atbara, Sudan
,
Sara Elfadil Abbas Mohammed
1   Department of Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
,
Elnour Mohamed Elagib
2   Department of Medicine, Military Hospital, Khartoum, Sudan
,
Hatim Mohamed Yousif Mudawi
1   Department of Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
› Author Affiliations
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Publication History

Publication Date:
25 September 2019 (online)

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ABSTRACT

Schistosomiasis is prevalent in tropical and subtropical areas. It manifests as an acute or chronic illness caused by the body’s reaction to the worms’ eggs. In view of its clinical similarity to various other diseases, the disorder may cause diagnostic errors. We present a case of a Sudanese man, who presented with fever, headache, fatigue, myalgia, excessive sweating, abdominal cramps, and a high eosinophil count on blood testing. He was diagnosed with a connective tissue disorder and was started on prednisolone, but 3 weeks later, he presented with rectal bleeding. Colonoscopy showed features of moderate distal colitis. Colonic biopsies revealed several viable schistosome ova associated with aggregates of eosinophils, compatible with active colonic schistosomiasis.

KEYWORDS:

Katayama syndrome - schistosomal colitis - schistosomiasis
 

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