Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- exposição geográfica
- dor abdominal
- hematúria
- hematêmese
Outros fatores diagnósticos
- erupção cutânea
- febre
- disúria
- hepatoesplenomegalia
- dispneia
- diarreia hemorrágica
- dor pélvica
- infertilidade ou história de gravidez ectópica
- ascite
- úlceras genitais
Fatores de risco
- exposição da pele à água doce contaminada
- viagens a regiões endêmicas
- idade de 4 a 15 anos
- exposição ocupacional
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- microscopia de urina ou fezes
- urinálise
- hemograma completo
- hemocultura
- esfregaços finos e espessos de sangue
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
Algoritmo de tratamento
dermatite cercarial
esquistossomose agudo
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
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.
Differentials
- Doença de Crohn
- Colite ulcerativa
- Câncer de cólon
More DifferentialsGuidelines
- CDC health information for international travel (Yellow Book 2024): schistosomiasis
- WHO guideline on control and elimination of human schistosomiasis
More Guidelines
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