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
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
治疗流程
血吸虫的高风险暴露
尾蚴性皮炎
急性血吸虫病
慢性血吸虫病
吡喹酮治疗后仍持续感染
撰稿人
作者
J. Martin Rodriguez, MD
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.
Nathan Gundacker, MD
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.
鸣谢
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
Richard Olds, MD, FACP
Professor
Medical College of Wisconsin
Milwaukee
WI
利益声明
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
利益声明
JRL declares that he has no competing interests.
鉴别诊断
- 克罗恩病
- 溃疡性结肠炎
- 结肠癌
更多 鉴别诊断指南
- 血吸虫病
- CDC 国际旅行健康信息（黄皮书）：血吸虫病
更多 指南
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