Acute schistosomiasis mansoni: revisited and reconsidered

Lambertucci, José Roberto

doi:10.1590/s0074-02762010000400012

Cited by 101 publications

(128 citation statements)

References 65 publications

(51 reference statements)

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“…1 Acute schistosomiasis, also called Katayama syndrome, is a systemic hypersensitivity reaction against the migrating schistosomula and eggs, occurring a few weeks to months after the primary infection. 10 The acute phase is usually asymptomatic, but clinical signs of varying intensity include fever, chills, weight loss, headache, anorexia, dry cough, nausea, vomiting, diarrhoea, hepatomegaly, and splenomegaly. Symptoms last from a few weeks to 3 months before gradually waning.…”

Section: Schistosomiasis and The Lungmentioning

confidence: 99%

“…11 Findings with chest radiograph include an interstitial pattern with micronodules, as well as pleural and pericardial eff usion. 10 Pulmonary nodules with ground-glass attenuation areas are commonly found by CT scan. 12-17 Lambertucci 14 and Taliberti 18 reported CT scan results for two patients with acute schistosomiasis, which revealed micronodules and macronodules disseminated in the lungs.…”

Section: Schistosomiasis and The Lungmentioning

confidence: 99%

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Pulmonary nodules in African migrants caused by chronic schistosomiasis

Gobbi

Buonfrate

Angheben

et al. 2017

The Lancet Infectious Diseases

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Section: Schistosomiasis and The Lungmentioning

confidence: 99%

Section: Schistosomiasis and The Lungmentioning

confidence: 99%

Pulmonary nodules in African migrants caused by chronic schistosomiasis

Gobbi

Buonfrate

Angheben

et al. 2017

The Lancet Infectious Diseases

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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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“…Thiago Cardoso Vale [1] , Sílvio Roberto de Sousa-Pereira [2] and José Roberto Lambertucci [ A 5-year-old girl presented with a seven-day history of lowerlimb pain and paraplegia, urinary and fecal retention. Neurological examination revealed flaccid paraparesis, lack of patellar and achilles-tendon bilateral reflexes, and sphincter impairment.…”

Section: Pseudo-tumoral Spinal Cord Schistosomiasismentioning

confidence: 99%

Pseudo-tumoral spinal cord schistosomiasis

Vale

Sousa-Pereira

Lambertucci

2013

Rev. Soc. Bras. Med. Trop.

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A 5-year-old girl presented with a seven-day history of lowerlimb pain and paraplegia, urinary and fecal retention. Neurological examination revealed flaccid paraparesis, lack of patellar and achilles-tendon bilateral reflexes, and sphincter impairment. She had contact with natural waters in an endemic area for schistosomiasis and Schistosoma mansoni eggs were found in her stools. Cerebrospinal fluid analysis showed 136 cells/dL (98% neutrophils and 2% monocytes), 128mg/dl of proteins and normal glucose level. Spinal cord magnetic resonance (MR -coronal section) revealed a tumoral lesion with hyperintense signal and contrast enhancement from T10 to L1 levels ( Figure A -conus medullaris). The patient was treated with praziquantel (50mg/kg, body weight, single dose) and intravenous steroids (methylprednisolone, 15mg/kg/day, for 5 days). Prednisone (40mg/day) was given afterwards for 4 months with complete recovery. MR repeated 6 months after dismissal from the hospital showed a normal spinal cord (Figure B - REFERENCES FINANCIAL SUPPORTThe work has been partially supported by CNPq/Brazil. Sagital MR before and 6 months after treatment). She had no complaints and looked healthy ( Figure C). Children with recent infection and severe myeloradiculopathy seem to respond better to treatment than older people.

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Acute schistosomiasis mansoni: revisited and reconsidered

Cited by 101 publications

References 65 publications

Pulmonary nodules in African migrants caused by chronic schistosomiasis

Pulmonary nodules in African migrants caused by chronic schistosomiasis

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

Pseudo-tumoral spinal cord schistosomiasis

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