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The Value of Routine Rectal Biopsy in the Diagnosis of Schistosomiasis
Ahmed Badran
Ahmed Badran
U. S. Naval Medical Research Unit No. 3, Cairo, Egypt
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Omar El Alfi
Omar El Alfi
U. S. Naval Medical Research Unit No. 3, Cairo, Egypt
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William C. Pfischner
William C. Pfischner
U. S. Naval Medical Research Unit No. 3, Cairo, Egypt
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John H. Killough
John H. Killough
U. S. Naval Medical Research Unit No. 3, Cairo, Egypt
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Thomas W. Burns
Thomas W. Burns
U. S. Naval Medical Research Unit No. 3, Cairo, Egypt
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Summary and Conclusions
- 1. One hundred consecutive admissions, consisting of Egyptian males of the Cairo and Delta region, admitted usually for brucellosis or amebiasis, were subjected to rectal biopsy.
- 2. There were no complications to the procedure. Sixty-one cases were found to have schistosome eggs; sixty, S. haematobium; one, S. mansoni; and eight had both S. haematobium and S. mansoni present.
- 3. An average of 3.4 twenty-four hour urine examinations for schistosome eggs were done per patient. A total of 33 patients were found to have eggs by this method.
- 4. In 32 patients the rectal biopsy was positive when examination of 24-hour urine specimens had been negative. Conversely, in only 3 patients were eggs discovered in concentrated urine specimens in patients in whom a rectal biopsy had been negative.
- 5. Rectal biopsy is the method of choice in establishing the diagnosis of vesical schistosomiasis.
Author Notes
From the Department of Clinical Investigation, NAMRU-3.
| Past two years | Past Year | Past 30 Days | |
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