最近审阅: 24 十月 2020
最近更新: 08 三月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 地理学暴露
  • 皮肤暴露于受污染的淡水
  • 腹痛
  • 血尿
  • 呕血

其他诊断因素

  • 学龄(4~15岁)
  • 职业暴露
  • 皮疹
  • 发热
  • 排尿困难
  • 肝脾肿大
  • 呼吸困难
  • 便血
  • 盆腔疼痛
  • 不育或异位妊娠史
  • 腹水
  • 生殖器溃疡

危险因素

  • 皮肤暴露于受污染的淡水
  • 前往疫区旅行
  • 年龄4~15岁

诊断性检查

首要检查

  • 粪便或尿液显微镜检查
  • 尿液分析
  • 全血细胞计数 (FBC)
  • 血液培养
  • 厚、薄血涂片
更多 首要检查

需考虑的检查

  • 血清学
  • 肝功能检查 (LFT)
  • 肾功能检查
  • 腹部超声
  • 组织活检
  • 腹部 CT 或 MRI
  • 头颅和脊髓MRI
  • 胸部 X 线检查 (CXR)
  • 胸部 CT
  • 尿循环阳极抗原 (CAA) 检测
  • 血吸虫 DNA/RNA
更多 需考虑的检查

治疗流程

撰稿人

Professor of Medicine

Division of Infectious Diseases

University of Alabama at Birmingham

Birmingham

AL

利益声明

JMR declares that he has no competing interests.

Assistant Professor

Division of Infectious Diseases

Department of Medicine

Medical College of Wisconsin

Milwaukee

WI

利益声明

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 topic. Dr Rodriguez would also like to gratefully acknowledge Dr Arlene Dent and Dr Charles H. King, previous contributors to this topic. IT declared that he had no competing interests. AD and CHK also declare that they have no competing interests.

同行评议者展开全部内容

Professor

Medical College of Wisconsin

Milwaukee

WI

利益声明

RO declares that he has no competing interests.

Professor

Faculty of Medicine

Federal University of Minas Gerais

Belo Horizonte

Minas Gerais

Brazil

利益声明

JRL declares that he has no competing interests.

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