Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- geographic exposure
- abdominal pain
- hematuria
- hematemesis
Outros fatores diagnósticos
- rash
- fever
- dysuria
- hepatosplenomegaly
- dyspnea
- bloody diarrhea
- pelvic pain
- infertility or history of ectopic pregnancy
- ascites
- genital ulcers
Fatores de risco
- skin exposure to contaminated freshwater
- travel to endemic areas
- age 4 to 15 years
- occupational exposure
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- stool or urine microscopy
- urinalysis
- complete blood count
- blood culture
- thick and thin blood smears
Investigações a serem consideradas
- serology
- liver function tests (LFTs)
- renal function tests
- abdominal ultrasound
- tissue biopsy
- computed tomography (CT) or magnetic resonance imaging (MRI) abdomen
- MRI brain and spinal cord
- chest x-ray
- CT chest
- urinary circulating anodic antigen (CAA)
- schistosome DNA/RNA
Algoritmo de tratamento
cercarial dermatitis
acute schistosomiasis
chronic schistosomiasis
persistent infection despite praziquantel treatment
Colaboradores
Autores
J. Martin Rodriguez, MD
Professor of Medicine
Division of Infectious Diseases
University of Alabama at Birmingham
Birmingham
AL
Declarações
JMR declares that he has no competing interests.
Nathan D. Gundacker, MD
Assistant Professor
Division of Infectious Diseases
Department of Medicine
Medical College of Wisconsin
Milwaukee
WI
Declarações
NDG declares that he has no competing interests.
Agradecimentos
Dr J. Martin Rodriguez and Dr Nathan D. Gundacker would like to gratefully acknowledge the late Dr Ildefonso Tellez, who was previously a co-contributor to this topic. Dr Rodriguez would also like to gratefully acknowledge Dr Arlene Dent and Dr Charles H. King, previous contributors to this topic.
Declarações
IT declared that he had no competing interests. AD and CHK also declare that they have no competing interests.
Revisores
Richard Olds, MD, FACP
Professor
Medical College of Wisconsin
Milwaukee
WI
Declarações
RO declares that he has no competing interests.
Jose Roberto Lambertucci, MD
Professor
Faculty of Medicine
Federal University of Minas Gerais
Belo Horizonte
Minas Gerais
Brazil
Declarações
JRL declares that he has no competing interests.
Referências
Principais artigos
World Health Organization. Schistosomiasis (Bilharzia). 2022 [internet publication].Texto completo
World Health Organization. WHO guideline on control and elimination of human schistosomiasis. Feb 2022 [internet publication].Texto completo
McManus DP, Dunne DW, Sacko M, et al. Schistosomiasis. Nat Rev Dis Primers. 2018 Aug 9;4(1):13. Resumo
Mutapi F, Maizels R, Fenwick A, et al. Human schistosomiasis in the post mass drug administration era. Lancet Infect Dis. 2017 Feb;17(2):e42-8.Texto completo Resumo
Weerakoon KG, Gobert GN, Cai P, et al. Advances in the diagnosis of human schistosomiasis. Clin Microbiol Rev. 2015 Oct;28(4):939-67. Resumo
Centers for Disease Control and Prevention. Parasites - Schistosomiasis: resources for health professionals. Oct 2020 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Crohn disease
- Ulcerative colitis
- Colon cancer
Mais Diagnósticos diferenciaisDiretrizes
- CDC health information for international travel (Yellow Book 2024): schistosomiasis
- WHO guideline on control and elimination of human schistosomiasis
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