Impact of HBV and S. mansoni on portal pressure: synergy or innocent bystanders?

A 47-year-old Egyptian patient was seen in our hepatology outpatient clinic for portal hypertension in chronic hepatitis B virus (HBV) infection, HbeAg negative. In consideration of the patient's origin, investigations were undertaken to identify Schistosoma infection. There was a strongly positive serology by ELISA and by indirect hemagglutination test (IHA), whereas microscopic examination of stools and urine did not show Schistosoma eggs. This article is protected by copyright. All rights reserved.