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Diabetes Mellitus and Pylephlebitic Abscess of the Liver Resulting from Schistosoma Mansoni Infestation¹

A case of Schistosoma mansoni infestation is reported which had two unusual complications, diabetes mellitus and acute pylephlebitic abscess of the liver. The findings in this case and a review of the literature suggest that glucose tolerance curves may discover the first complication to be more frequent than is believed, since usually only fasting blood sugar levels have been studied and involvement of the pancreas is frequently found in autopsy material. The complication of acute abscess of the liver apparently is unique.

¹ From the First Medical Division, Service of Dr. Henry Marks, and the Laboratory of Pathology, City Hospital, Welfare Island, New York 17, N. Y.