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Esquistossomose

Última revisão: 11 Jun 2025
Última atualização: 12 Mar 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • exposição geográfica
  • dor abdominal
  • hematúria
  • hematêmese
Detalhes completos

Outros fatores diagnósticos

  • erupção cutânea
  • febre
  • disúria
  • hepatoesplenomegalia
  • dispneia
  • diarreia hemorrágica
  • dor pélvica
  • infertilidade ou história de gravidez ectópica
  • ascite
  • úlceras genitais
Detalhes completos

Fatores de risco

  • exposição da pele à água doce contaminada
  • viagens a regiões endêmicas
  • idade de 4 a 15 anos
  • exposição ocupacional
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • microscopia de urina ou fezes
  • urinálise
  • hemograma completo
  • hemocultura
  • esfregaços finos e espessos de sangue
Detalhes completos

Investigações a serem consideradas

  • sorologia
  • testes da função hepática
  • testes de função renal
  • ultrassonografia abdominal
  • biópsia tecidual
  • tomografia computadorizada (TC) ou ressonância nuclear magnética (RNM) do abdome
  • RNM cranioencefálica e da medula espinhal
  • radiografia torácica
  • tomografia computadorizada (TC) do tórax
  • antígeno anódico circulante (AAC) urinário
  • ácido desoxirribonucleico/ácido ribonucleico (DNA/RNA) do esquistossomo
Detalhes completos

Algoritmo de tratamento

AGUDA

dermatite cercarial

esquistossomose agudo

CONTÍNUA

esquistossomose crônica

infecção persistente apesar do tratamento com praziquantel

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

Disclosures

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

Disclosures

JRL declares that he has no competing interests.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

World Health Organization. Schistosomiasis (Bilharzia). 2022 [internet publication].Full text

World Health Organization. WHO guideline on control and elimination of human schistosomiasis. Feb 2022 [internet publication].Full text

McManus DP, Dunne DW, Sacko M, et al. Schistosomiasis. Nat Rev Dis Primers. 2018 Aug 9;4(1):13. Abstract

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.Full text  Abstract

Weerakoon KG, Gobert GN, Cai P, et al. Advances in the diagnosis of human schistosomiasis. Clin Microbiol Rev. 2015 Oct;28(4):939-67. Abstract

Centers for Disease Control and Prevention. Parasites - Schistosomiasis: resources for health professionals. Oct 2020 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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