Acute schistosomiasis: clinical, diagnostic and therapeutic features

Lambertucci, José Roberto

doi:10.1590/s0036-46651993000500003

Cited by 41 publications

(29 citation statements)

References 21 publications

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“…Abdominal ultrasound in acute schistosomiasis is characterized by the fi ndings of hepatomegaly and splenomegaly and the presence of several lymph nodes in the portal system and mesenteric area [33][34][35] .…”

Section: Ultrasound In Hepatosplenic Schistosomiasismentioning

confidence: 99%

Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools

Lambertucci

2014

Rev. Soc. Bras. Med. Trop.

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Different aspects of hepatosplenic schistosomiasis are revisited here. Manson's schistosomiasis causes periportal fi brosis and portal hypertension in approximately 6% of infected subjects, usually with preservation of their hepatic function. The assessment of liver involvement is of major importance in determining the prognosis and risk of complications from schistosomiasis, such as upper digestive bleeding secondary to variceal rupture. For many years, the diagnosis of hepatosplenic schistosomiasis and liver fi brosis was made by abdominal palpation and the fi nding of liver and/or spleen enlargement. However, there is no consensus regarding the clinical parameters of the liver and spleen to be considered in this physical evaluation. For the last three decades, abdominal ultrasound (US) has become the best imaging technique to evaluate liver fi brosis caused by schistosomiasis mansoni. However, US is a subjective procedure and is therefore examiner-dependent. Magnetic resonance imaging (MRI) fi ndings have provided valuable information in addition to ultrasound and clinical examination. The combination of a comprehensive history and physical examination, basic laboratory tests (a stool examination for Schistosoma mansoni eggs and a blood cell count), biomarkers for liver fi brosis/portal hypertension and imaging methods seem to offer the best approach for evaluating patients with this disease. In situations where research is involved or in patients with severe disease, MRI may be considered.

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Section: Ultrasound In Hepatosplenic Schistosomiasismentioning

confidence: 99%

Revisiting the concept of hepatosplenic schistosomiasis and its challenges using traditional and new tools

Lambertucci

2014

Rev. Soc. Bras. Med. Trop.

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“…The immediate syndrome is characterized by maculopapular eruption at the site of penetration of the cercaria immediately after infection (cercarial dermatitis) 6 . Acute schistosomiasis or Katayama fever has been described for infections with S. japonicum.…”

Section: Discussionmentioning

confidence: 99%

“…Acute schistosomiasis or Katayama fever has been described for infections with S. japonicum. This clinical form is rare in patients from endemic areas but highly prevalent in nonimmune western individuals traveling to areas endemic for schistosomiasis 5,6 and the most common symptoms include fever, headache, shivering, myalgia, anorexia, nausea, vomiting, upper quadrant abdominal pain, diarrhea, and respiratory problems. Hepato-and splenomegaly might be present.…”

Section: Discussionmentioning

confidence: 99%

Acute encephalitis caused by Schistosoma mansoni

Christo¹,

Zambelli

Amâncio

et al. 2010

Arq. Neuro-Psiquiatr.

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“…Six to eight weeks after the initial contact with water infested by schistosome cercariae, infected patients present fever, toxemia, weakness, weight loss, diarrhea, abdominal pain, cough, myalgia, arthralgia, urticaria, edema, and enlargement of the liver and spleen. These clinical manifestations vary in intensity from relatively mild to severe and are easily confused with other syndromes with hepatosplenic involvement as infection by Salmonela sp., malaria and hepatitis (Neves 1965, Lambertucci 1993, Rabello 1995.…”

mentioning

confidence: 99%