Pulmonary Hypertension as a Primary Presentation for Schisto
This article was published in Oxford medical case reports

Pulmonary hypertension (PH) is considered when the mean pulmonary artery pressure at rest is equal or more than 25 mm Hg. The combination of schistosomiasis and pulmonary hypertension (PH) was always recognized as a very rare one; in medical literature, PH is considered as a manifestation of hepatosplenic schistosomiasis but not a manifestation of schistosomal infection until recently

A 26-year-old farmer was presented to the internal medicine department with the complaint of shortness of breath, New York Heart Association class IV. Clinical examination of the cardiovascular and palpation of the precordium shows a palpable P2 and positive left parasternal heave. Electrocardiogram performed in clinic showed a significant right axis deviation. Abdominal and hand examinations were normal. Given these clinical findings, it was felt that a PH was the most likely cause of his symptoms.

Echocardiogram (ECHO) was thereafter performed to estimate the pulmonary artery systolic pressure, which was 28 mm Hg, no right ventricle dysfunction or any finding that would suggest a cardiac cause.

Source: https://academic.oup.com/omcr/article/2019/8/omz073/5545646
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