Case report
A 12-year-old Sudanese girl come to our clinic at 2022 presented with
chronic diarrhea (4-5) times per day for more than one year she doesn’t
diagnose as she has intestinal trematodes, On physical examination, she
has a good appetite, abdominal pain, after meals quick needs a bath for
defecation, she appears pale and underweight. Laboratory investigation
showed normal white cell count of 4500/cmm, and mild anemia Hb 9g/dl the
stool was requested for examination, the stool loose contains large
particles seen macroscopically as undigested food. Two separate
techniques as available in our lab, direct saline wet preparation and
formal ether concentration technique was performed. on direct wet
preparation examined firstly with low power field a nine trematode
segments with scolex, neck, (13-17) uterus branch, scorpion- like tails,
were seen accidentally in one field figure (1). On formal ether
concentration technique there is no eggs of any parasite but many starch
cells were showed, and yeasts over growth. The patient was treated with
400 mg mebendazole immediately and after one week, and come for
follow-up after one month and there is no segments nor eggs, she appears
well and she start tonics for anaemia.