Etiological research of paediatric jaundice revealing hepatic schistosomiasis in a case at the Reference Health Centre of Commune II of Bamako. Mali

Résumé fourni par la source

Schistosomiasis is a parasitic disease caused by flatworms called schistosomes. Intestinal schistosomiasis caused by Schistosoma mansoni is very often latent in subjects, other ectopic locations (liver, lung, heart) are also reported. We report the case of an 8-year-old child who had presented with frank jaundice, alteration of the general condition, hepatomegaly appeared for a year. Disturbance of liver functions with slight anaemia was observed, abdominal CT scan had shown a dysmorphic, globular liver with irregular contours of heterogeneous enhancement with moderate dilation of the intra- and extra-hepatic bile ducts. Microscopic examination after sampling three fragments of the rectal mucosa reveals schistosoma hematobium eggs. The diagnosis of hepatic schistosomiasis was made. Management consisted of treatment with praziquentel 600, albendazole 400 mg and duphalac. It is necessary to think about hepatic schistosomiasis in the face of our situation in an endemic area, the presence of the patient's medical history and all the clinical semiology through good clinical reasoning to avoid the high cost associated with the management of this disease and its chronic course. Keywords: Etiological research, paediatric jaundice, hepatic schistosomiasis.

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