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Persistent Colonic Schistosomiasis among Symptomatic Rural Inhabitants in the Egyptian Nile Delta
Mohamed Hussien Ahmed1, Mohamed H Emara1, Amr Asem Elfert2
1Hepatology, Gastroenterology and Infectious Diseases Department, Kafrelsheikh University, Kafrelsheikh, Egypt.
Summary
Colonic schistosomiasis remains prevalent in Egypt's Nile Delta, affecting 12.4% of symptomatic rural individuals. Many infected patients exhibit significant colorectal lesions, highlighting the need for continued public health efforts against this neglected tropical disease.
Area of Science:
- Tropical Medicine
- Infectious Diseases
- Gastroenterology
Background:
- Human schistosomiasis is a significant neglected tropical disease.
- Colonic schistosomiasis is a major concern in endemic regions.
- The Egyptian Nile Delta has a high burden of schistosomiasis.
Purpose of the Study:
- To determine the prevalence of colonic schistosomiasis.
- To characterize colonic schistosomiasis in symptomatic rural Egyptians.
- To assess the clinical and endoscopic findings associated with the disease.
Main Methods:
- Study conducted in 193 symptomatic rural inhabitants of the Egyptian Nile Delta.
- Methods included history, clinical examination, stool analysis, abdominal ultrasonography, and colonoscopy with biopsies.
- Informed consent was obtained from all participants.
Main Results:
- Prevalence of active colonic schistosomiasis was 12.4% (24/193 cases).
- Bleeding with stool was the most common symptom, often with abdominal pain.
- Significant endoscopic lesions (polyps, ulcers, mass-like lesions) were found in 66.6% of infected patients.
Conclusions:
- Colonic schistosomiasis persists in the Egyptian Nile Delta rural population.
- A high proportion of infected individuals present with significant colorectal lesions.
- Ongoing public health initiatives are crucial to screen high-risk groups and control transmission.
