Schistosoma Japonicum-Like Eggs in the Appendix of an Inhabitant of Java, Indonesia

A Case Report

James R. PalmieriU.S. Naval Medical Research Unit No. 2, Department of Pathology and Survey, Sumber Waras Hospital, Faculty of Medicine, University of Tarumanagara, Jakarta Detachment, Jakarta, Indonesia

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Julisar LestadiU.S. Naval Medical Research Unit No. 2, Department of Pathology and Survey, Sumber Waras Hospital, Faculty of Medicine, University of Tarumanagara, Jakarta Detachment, Jakarta, Indonesia

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PurnomoU.S. Naval Medical Research Unit No. 2, Department of Pathology and Survey, Sumber Waras Hospital, Faculty of Medicine, University of Tarumanagara, Jakarta Detachment, Jakarta, Indonesia

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H. S. LimU.S. Naval Medical Research Unit No. 2, Department of Pathology and Survey, Sumber Waras Hospital, Faculty of Medicine, University of Tarumanagara, Jakarta Detachment, Jakarta, Indonesia

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T. TedjasukmanaU.S. Naval Medical Research Unit No. 2, Department of Pathology and Survey, Sumber Waras Hospital, Faculty of Medicine, University of Tarumanagara, Jakarta Detachment, Jakarta, Indonesia

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The second case of autochthonous Schistosoma japonicum-like infection in man from Indonesia is reported. An appendectomy was performed on a 34-year-old inhabitant of Java of Chinese heritage. Microscopic examination of the necrotic appendix revealed S. japonicum-like eggs in the mucosa, submucosa, muscularis, and serosa layers. There were many degenerated and mineralized eggs, some of which were within giant cells and/or surrounded by scar tissue.

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