A 28-year-old lady visits the doctor's office complaining of progressively worsening stomach discomfort and sporadic diarrhea over many months. She claims not to have a fever or chills, but she has lost weight from a lack of hunger. The patient has spent a lot of time in the region over the past five years while working for an organization that installs wood pellet cookstoves in remote villages in Central Africa. Blood pressure is 126/72, temperature is 37.8 C (100 F) , and pulse is 86. 19 kg/m² is the BMI. Physical inspection is typical. The following are the laboratory findings: An intestinal biopsy sample is shown in the exhibit.
Which of the following is the most appropriate treatment for this patient?

Question

A 28-year-old lady visits the doctor's office complaining of progressively worsening stomach discomfort and sporadic diarrhea over many months. She claims not to have a fever or chills, but she has lost weight from a lack of hunger. The patient has spent a lot of time in the region over the past five years while working for an organization that installs wood pellet cookstoves in remote villages in Central Africa. Blood pressure is 126/72, temperature is 37.8 C (100 F) , and pulse is 86. 19 kg/m² is the BMI. Physical inspection is typical. The following are the laboratory findings:

An intestinal biopsy sample is shown in the exhibit.

Which of the following is the most appropriate treatment for this patient?

Quizplus · Accepted Answer

Eductional Objective: A blood fluke illness known as schistosomiasis can strike people who bathe or swim in waterways containing infected snails. Adult worms develop in the liver, settle in the vesicular venous plexus or mesenteric venules, and discharge eggs into the feces or urine. Eggs may cause granulomatous inflammation, which may result in symptoms in the urinary, periportal, or gastrointestinal tracts. When round or oval eggs with a terminal or lateral spine are found in the urine, feces, or biopsy, the diagnosis is often determined.

A 28-Year-Old Lady Visits the Doctor's Office Complaining of Progressively