Schistosomiasis detected during appendectomy

A 17-year-old German student with acute abdominal pain attended a regional hospital in northern Germany. During interview, he said that 2 weeks earlier his ejaculate had changed to a yellowish brown colour. Laboratory analysis showed leucocytosis (21·9 × 109 per L) with a marked eosinophilia (78%, 1...

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Veröffentlicht in:	The Lancet (British edition) 2018-06, Vol.391 (10139), p.2546-2546
Hauptverfasser:	Kraef, Christian, Arand, Jonas, Veletzky, Luzia, Schäfer, Hansjoerg, Jordan, Sabine, Schmiedel, Stefan, Ramharter, Michael
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Abdominal Pain - etiology Adolescent Animals Anthelmintics - administration & dosage Appendectomy Appendicitis - complications Appendicitis - surgery Biopsy Case reports Humans Incidental Findings Liver Liver - parasitology Male Praziquantel - administration & dosage Real-Time Polymerase Chain Reaction Schistosoma haematobium Schistosoma haematobium - isolation & purification Schistosomiasis Schistosomiasis haematobia - complications Schistosomiasis haematobia - diagnosis Schistosomiasis haematobia - drug therapy Semen - parasitology
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Zusammenfassung:	A 17-year-old German student with acute abdominal pain attended a regional hospital in northern Germany. During interview, he said that 2 weeks earlier his ejaculate had changed to a yellowish brown colour. Laboratory analysis showed leucocytosis (21·9 × 109 per L) with a marked eosinophilia (78%, 15·3 × 109 per L) and slightly elevated liver enzymes (alanine aminotransferase 101 U/L). An acute appendicitis was suspected and laparoscopic appendectomy was performed.
ISSN:	0140-6736 1474-547X
DOI:	10.1016/S0140-6736(18)31329-1