Last reviewed: November 2017
Last updated: December  2016

Summary

Definition

History and exam

Key diagnostic factors

  • geographical exposure
  • skin exposure to contaminated freshwater
  • abdominal pain
  • haematuria
  • haematemesis

Other diagnostic factors

  • school age (4 to 15 years)
  • occupational exposure
  • rash
  • fever
  • dysuria
  • hepatosplenomegaly
  • dyspnoea
  • bloody diarrhoea
  • pelvic pain
  • infertility or history of ectopic pregnancy
  • ascites
  • genital ulcers

Risk factors

  • skin exposure to contaminated freshwater
  • travel to endemic areas
  • age 4 to 15 years

Diagnostic investigations

1st investigations to order

  • stool or urine microscopy
  • urinalysis
  • FBC
  • blood culture
  • thick and thin blood smears
Full details

Investigations to consider

  • serology
  • liver function tests
  • renal function tests
  • abdominal ultrasound
  • tissue biopsy
  • abdominal CT or MRI
  • MRI brain and spinal cord
  • CXR
  • chest CT
  • urinary circulating anodic antigen (CAA)
  • schistosome DNA/RNA
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Medicine

Division of Infectious Diseases

University of Alabama at Birmingham

Birmingham

AL

Disclosures

JMR declares that he has no competing interests.

Senior Fellow in Infectious Diseases

Division of Infectious Diseases

University of Alabama at Birmingham

Birmingham

AL

Disclosures

NG declares that he has no competing interests.

Dr J. Martin Rodriguez and Dr Nathan Gundacker would like to gratefully acknowledge the late Dr Ildefonso Tellez, who was previously a co-contributor to this monograph. Dr Rodriguez would also like to gratefully acknowledge Dr Arlene Dent and Dr Charles H. King, previous contributors to this monograph. IT declared that he had no competing interests. AD and CHK also declare that they have no competing interests.

Peer reviewers VIEW ALL

Professor

Medical College of Wisconsin

Milwaukee

WI

Disclosures

RO declares that he has no competing interests.

Professor

Faculty of Medicine

Federal University of Minas Gerais

Belo Horizonte

Minas Gerais

Brazil

Disclosures

JRL declares that he has no competing interests.

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