When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Schistosomiasis

Última revisão: 19 Jun 2025
Última atualização: 12 Mar 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • geographic exposure
  • abdominal pain
  • hematuria
  • hematemesis
Detalhes completos

Outros fatores diagnósticos

  • rash
  • fever
  • dysuria
  • hepatosplenomegaly
  • dyspnea
  • bloody diarrhea
  • pelvic pain
  • infertility or history of ectopic pregnancy
  • ascites
  • genital ulcers
Detalhes completos

Fatores de risco

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

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • stool or urine microscopy
  • urinalysis
  • complete blood count
  • blood culture
  • thick and thin blood smears
Detalhes completos

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
Detalhes completos

Algoritmo de tratamento

AGUDA

cercarial dermatitis

acute schistosomiasis

CONTÍNUA

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

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

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.
  • Schistosomiasis images
  • Diagnósticos diferenciais

    • Crohn disease
    • Ulcerative colitis
    • Colon cancer
    Mais Diagnósticos diferenciais
  • Diretrizes

    • CDC health information for international travel (Yellow Book 2024): schistosomiasis
    • WHO guideline on control and elimination of human schistosomiasis
    Mais Diretrizes
  • padlock-lockedConectar-se ou assinar para acessar todo o BMJ Best Practice

O uso deste conteúdo está sujeito ao nosso aviso legal