3 Methods:
Clinical examination showed that the patient had ascites and hepatosplenomegaly. Baseline investigations revealed a low white blood cell count of 2,200 cells/µl, platelets of 50,000 /µl, and hematocrit of 25%. Viral screening for hepatitis B, C, and HIV all yielded negative results. Stool examination indicated the presence of S. mansoni eggs with the characteristic broad lateral spine, as well as Rhabditiform first-stage larvae of S. stercoralis and Hookworm egg (Figure 1). Abdominal ultrasound showed hepatosplenomegaly, with the left lobe of the liver was the most affected site and central sonolucencies distinct from the true cirrhotic pattern, a portal vein diameter of 18mm, and a moderate amount of peritoneal fluid. Esophagogastroduodenoscopy and colonoscopy were subsequently performed in response to the previous findings.