Schistosoma: Difference between revisions

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Schistosoma
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= ''Schistosoma'' spp. (schistosomiasis) =

== Definition ==

* Infection with a species of the genus ''Schistosoma''
* Infection with a species of the genus ''Schistosoma''


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* Increased risk of squamous cell carcinoma, which increase with young age at infection, duration of infection, high burden of infection, and bladder wall fibrosis
* Increased risk of squamous cell carcinoma, which increase with young age at infection, duration of infection, high burden of infection, and bladder wall fibrosis


{{DISPLAYTITLE:''Schistosoma'' species}}
== Further Reading ==
[[Category:Parasites]]

Revision as of 11:29, 16 August 2019

  • Infection with a species of the genus Schistosoma

Species

  • S. mansoni: liver and gut
  • S. haematobium: GU/pelvis
  • S. japonicum: liver and gut
  • S. mekongi: Mekong basin

Risk Factors

  • Fresh water exposure in endemic countries

Clinical Presentation

Investigations

  • Labs
    • CBC, showing eosinophilia
    • Schisto serology (only positive 6 weeks after infection)
    • Egg detection in stool, urine, semen, or tissue biopsy
  • Imaging
    • Eggs can cause granulomatous disease in various organs
    • Bladder polyps and obstruction may be seen on ultrasound

Management

  • Acute
    • Praziquantel 40mg/kg/d
      • Can cause nausea, dizziness, and fever
  • Chronic
    • Prevention

Prognosis

  • Increased risk of squamous cell carcinoma, which increase with young age at infection, duration of infection, high burden of infection, and bladder wall fibrosis