Non-necrotizing colonic granuloma induced by schistosomiasis

Schistosomiasis is an important parasitic disease with various clinical presentations caused by trematode blood flukes. It can present with asymptomatic, chronic colonic ulcerations, strictures, or inflammatory mass causing bowel obstruction. Intestinal polyps are uncommon and induced by antigens re...

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Main Authors: Thein Swe, AAMA Baqui, Akari Thein Naing, Tajruba Baqui, Jagannath Sherigar, Mohamed Mansour
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2016-12-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://www.jchimp.net/index.php/jchimp/article/view/33114/pdf_224
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author Thein Swe
AAMA Baqui
Akari Thein Naing
Tajruba Baqui
Jagannath Sherigar
Mohamed Mansour
author_facet Thein Swe
AAMA Baqui
Akari Thein Naing
Tajruba Baqui
Jagannath Sherigar
Mohamed Mansour
author_sort Thein Swe
collection DOAJ
description Schistosomiasis is an important parasitic disease with various clinical presentations caused by trematode blood flukes. It can present with asymptomatic, chronic colonic ulcerations, strictures, or inflammatory mass causing bowel obstruction. Intestinal polyps are uncommon and induced by antigens released from the schistosome eggs that trigger a cell-mediated inflammatory response with granuloma formation involving T cells, macrophages, and necrosis. This is very relevant while evaluating chronic intermittent gastrointestinal symptoms and eosinophilia in an immigrant patient from endemic areas of schistosomiasis. Here, we describe a case of chronic intestinal schistosomiasis which was found to have schistosomiasis-induced colonic polyp with non-necrotizing granuloma. With increase in immigrant population from the endemic areas of schistosomiasis in the United States, physicians should be aware of this disease and its various manifestations. Gastroenterologist should keep this as one of the differentials for colonic polyps. Diagnosis and treatment in time prevents further progression of the disease and its complications.
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spelling doaj.art-e623d966a0da440c8874d00abc5e99d32023-01-03T01:43:08ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662016-12-01661310.3402/jchimp.v6.3311433114Non-necrotizing colonic granuloma induced by schistosomiasisThein Swe0AAMA Baqui1Akari Thein Naing2Tajruba Baqui3Jagannath Sherigar4Mohamed Mansour5 Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA Department of Pathology, Interfaith Medical Center, Brooklyn, NY, USA Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA Department of Internal Medicine, Interfaith Medical Center, Brooklyn, NY, USA Department of Gastroenterology, Interfaith Medical Center, Brooklyn, NY, USA Department of Gastroenterology, Interfaith Medical Center, Brooklyn, NY, USASchistosomiasis is an important parasitic disease with various clinical presentations caused by trematode blood flukes. It can present with asymptomatic, chronic colonic ulcerations, strictures, or inflammatory mass causing bowel obstruction. Intestinal polyps are uncommon and induced by antigens released from the schistosome eggs that trigger a cell-mediated inflammatory response with granuloma formation involving T cells, macrophages, and necrosis. This is very relevant while evaluating chronic intermittent gastrointestinal symptoms and eosinophilia in an immigrant patient from endemic areas of schistosomiasis. Here, we describe a case of chronic intestinal schistosomiasis which was found to have schistosomiasis-induced colonic polyp with non-necrotizing granuloma. With increase in immigrant population from the endemic areas of schistosomiasis in the United States, physicians should be aware of this disease and its various manifestations. Gastroenterologist should keep this as one of the differentials for colonic polyps. Diagnosis and treatment in time prevents further progression of the disease and its complications.http://www.jchimp.net/index.php/jchimp/article/view/33114/pdf_224schistosomiasiscolonic polypgranulomaparasiteimmigrant
spellingShingle Thein Swe
AAMA Baqui
Akari Thein Naing
Tajruba Baqui
Jagannath Sherigar
Mohamed Mansour
Non-necrotizing colonic granuloma induced by schistosomiasis
Journal of Community Hospital Internal Medicine Perspectives
schistosomiasis
colonic polyp
granuloma
parasite
immigrant
title Non-necrotizing colonic granuloma induced by schistosomiasis
title_full Non-necrotizing colonic granuloma induced by schistosomiasis
title_fullStr Non-necrotizing colonic granuloma induced by schistosomiasis
title_full_unstemmed Non-necrotizing colonic granuloma induced by schistosomiasis
title_short Non-necrotizing colonic granuloma induced by schistosomiasis
title_sort non necrotizing colonic granuloma induced by schistosomiasis
topic schistosomiasis
colonic polyp
granuloma
parasite
immigrant
url http://www.jchimp.net/index.php/jchimp/article/view/33114/pdf_224
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AT tajrubabaqui nonnecrotizingcolonicgranulomainducedbyschistosomiasis
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