Table 2 The clinical pathway of the patient
From: Intestinal FDG-PET/CT imaging of an Eritrean with schistosomiasis seen in Denmark
Date | Tests | Results |
|---|---|---|
01/05/2018 | White blood cell count | Elevation |
Cardiac and pulmonary examinations | Unremarkable | |
Chest X-ray | Normal | |
07/05 | CT scan of thorax and abdomen | Thickening of terminal ileum |
Early diagnosis: suspect to IBD with cholecystitis | ||
08/05 | Ultrasonography of the abdomen | Low-grade ascites |
Further diagnosis: suspect to Crohn disease | ||
09/05 | Feces examination for TB, calprotectin, and pathogens | Negative |
Serological tests for HIV, HBV, HCV, and syphilis | Negative | |
Acid-fast staining of expectorant culture and blood culture | Negative | |
12/05 | Feces examination for intestinal and skeletal TB | Suspect |
Tuberculosis quantification PCR for differential diagnosis | Positive | |
Later diagnosis: suspect to intestinal TB and start of treatment | ||
16/05 | PET/CT of whole body scan | Enlarged lymph nodes, widespread foci in peritoneum, omentum majus, and terminal ilium and ascites. |
18/05 | Biopsy of intestinal mucosa and ascite fluid | Ulceration, giant cell, granular |
25/05 | Investigation of Schistosomas ova in stool and urine | Positive only in feces |
26/05 | Ultrasonography of abdomen for periportal fibrosis | Positive |
30/05 | PCR for Schistosomas DNA of stool and urine | Positive only in feces |
Final diagnosis: schistosomiasis and start of treatment | ||