01180nas a2200181 4500000000100000008004100001260003400042653002100076653001700097653002600114100001500140700001200155245005900167856008200226300000600308520067000314022001400984 2025 d bOxford University Press (OUP)10aSchistosomiasis 10aAppendicitis10aSchistosoma infection1 aDholakia J1 aSmith M00aSchistosomiasis: an unexpected finding in appendicitis uhttps://academic.oup.com/jscr/article-pdf/2025/2/rjae727/61932320/rjae727.pdf a23 a

Schistosomiasis is an uncommon cause of appendicitis in the developed world. It needs to be correctly identified, as it has further treatment implications for the patient. We present the case of a 34-year-old Zimbabwean migrant with appendicitis and associated adjacent peritoneal nodules. Histological testing showed these to be parasitic larvae, Schistosoma. He was followed up by the infectious diseases team and treated with Praziquantel as eradicative therapy. Appendicitis may be the only sign of a Schistosoma infection, which would enable early eradicative treatment, thus preventing the development of more serious hepato-intestinal complications.

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