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.