Schistosoma japonicum infection presenting with colon perforation

case report.

T. S. Wu, T. C. Chen, R. J. Chen, P. C. Chiang, H. S. Leu

Research output: Chapter in Book/Report/Conference proceedingChapter

11 Citations (Scopus)

Abstract

Colon perforation can be caused by a variety of entities, including iatrogenic trauma, tumors, ischemia, inflammatory bowel disease, and steroid use. Parasitic infection rarely leads to colon perforation. Secondary peritonitis results from mixed microorganism infection, including enterococci, enteric bacilli, and anaerobes. A combination of an optimal antibiotic regimen and surgical intervention is of paramount importance. Nevertheless, intra-abdominal infections usually have a high mortality rate. Schistosomiasis occurs worldwide. S. japonicum infection is endemic in Asia. The most common complications of gastrointestinal schistosomiasis are periportal fibrosis, intestinal polyposis, and bowel stricture. Rarely, schistosomiasis results in colon perforation. The diagnosis of schistosome infections is based on ova in stool or tissue specimens, and/or immunologic diagnostic tests. The most effective anti-schistosomiasis agent is praziquantel. Herein, we describe an unusual case of colon perforation associated with Schistosoma japonicum infection, which resulted in severe peritonitis and led to the patient's death.

Original languageEnglish
Title of host publicationChanggeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital
Pages676-681
Number of pages6
Volume22
Edition4
Publication statusPublished - 1999
Externally publishedYes

Fingerprint

Schistosoma japonicum
Schistosomiasis
Colon
Infection
Peritonitis
Intestinal Polyposis
Intraabdominal Infections
Praziquantel
Immunologic Tests
Parasitic Diseases
Enterococcus
Coinfection
Inflammatory Bowel Diseases
Routine Diagnostic Tests
Bacillus
Ovum
Pathologic Constriction
Fibrosis
Ischemia
Steroids

Cite this

Wu, T. S., Chen, T. C., Chen, R. J., Chiang, P. C., & Leu, H. S. (1999). Schistosoma japonicum infection presenting with colon perforation: case report. In Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital (4 ed., Vol. 22, pp. 676-681)

Schistosoma japonicum infection presenting with colon perforation : case report. / Wu, T. S.; Chen, T. C.; Chen, R. J.; Chiang, P. C.; Leu, H. S.

Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital. Vol. 22 4. ed. 1999. p. 676-681.

Research output: Chapter in Book/Report/Conference proceedingChapter

Wu, TS, Chen, TC, Chen, RJ, Chiang, PC & Leu, HS 1999, Schistosoma japonicum infection presenting with colon perforation: case report. in Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital. 4 edn, vol. 22, pp. 676-681.
Wu TS, Chen TC, Chen RJ, Chiang PC, Leu HS. Schistosoma japonicum infection presenting with colon perforation: case report. In Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital. 4 ed. Vol. 22. 1999. p. 676-681
Wu, T. S. ; Chen, T. C. ; Chen, R. J. ; Chiang, P. C. ; Leu, H. S. / Schistosoma japonicum infection presenting with colon perforation : case report. Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital. Vol. 22 4. ed. 1999. pp. 676-681
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