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Salmonellosis Complicating Schistosomiasis in Egypt

A New Clinical Appreciation

Saad El-Din HathoutAbbassiah Fever Hospital, and the Departments of Medicine and Clinical Pathology, Ein-Shams University, Cairo

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Yasin Abd El-GhaffarAbbassiah Fever Hospital, and the Departments of Medicine and Clinical Pathology, Ein-Shams University, Cairo

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Ahmed Yousef AwnyAbbassiah Fever Hospital, and the Departments of Medicine and Clinical Pathology, Ein-Shams University, Cairo

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Summary

Clinical and laboratory studies of 61 patients with schistosomiasis and 21 patients without schistosomiasis, with infection with enteric organisms, principally S. paratyphi A, have revealed that this infection complicated by schistosomiasis with hepatic fibrosis has a characteristic picture, which is different from that of classic enteric infection in patients without schistosomiasis. The characteristic clinical features of the former syndrome are reported in detail and are interpreted. The concept that enteric infection in patients with schistosomiasis is essentially a urinary-tract infection is strengthened by this study.

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