Clinical analysis of 15 patients suffered from advanced ascetic schistosomiasis with tuberculous pleurisy

Abstract

To discuss the clinical characteristics of advanced schistosomiasis combined with tuberculous pleurisy, so as to reduce misdiagnosis and mistreatment. The clinical data of 15 patients suffered from advanced schistosomiasis combined with tuberculous pleurisy were collected and analyzed retrospectively. The 15 patients all showed various degrees of gastrointestinal symptoms with the performance of abdominal distension, digestive function and fatigue, 14 patients showed various degrees of edematous, 9 patients showed stuffiness, 4 patients had cough and expectoration, and 2 patients had low fever and night sweats. Three cases were diagnosed within 2 days after admission, 9 cases were diagnosed within one week after admission, and 3 cases were diagnosed after one week. Fifteen patients all received anti-tuberculosis treatment based on routine liver protection, diuresis, and symptomatic and supportive treatment. One patient with severe liver and kidney dysfunction died and one with gastrointestinal bleeding died. The remaining 13 patients were clinically cured. The patients suffered from advanced schistosomiasis combined with tuberculous pleurisy do not show obvious tuberculosis poisoning symptoms, and are easily misdiagnosed and missed-diagnosed. Therefore, physicians should pay much attention to the patients whose pleural effusion cannot subside effectively or whose symptom cannot improve.