Schistosomiasis

Question 1

what is Schistosomiasis?

Answer 1

parasitic flatworm infection

Question 2

Acute symptoms and Schistosomiasis?

Answer 2

swimmers’ itch

acute schistosomiasis syndrome (Katayama fever)
fever
urticaria/angioedema
arthralgia/myalgia
cough
diarrhoea

Question 3

Schistosoma haematobium

Answer 3

deposit egg clusters (pseudopapillomas) in the bladder, causing inflammation.

Depending on the site of these pseudopapillomas in the bladder, they can cause an obstructive uropathy and kidney damage

Question 4

Schistosoma haematobium is a risk factor ?

Answer 4

squamous cell bladder cancer.

Question 5

features of specific Schistosoma haematobium

Answer 5

frequency
haematuria
bladder calcification

Question 6

what can be seen in X-ray of Schistosoma haematobium?

Answer 6

calcification of the egg clusters of bladder

Question 7

Management Schistosoma haematobium?

Answer 7

single oral dose - praziquantel

Question 8

Schistosoma mansoni and Schistosoma japonicum clinical features

Answer 8

worms mature in the liver - then travel through the portal system to inhabit the distal colon.

Presence in the portal system can lead to progressive hepatomegaly and splenomegaly due to portal vein congestion.

Question 9

therefore complications of Schistosoma mansoni and Schistosoma japonicum

Answer 9

lead to complications of liver cirrhosis,
variceal disease
and cor pulmonale.

Question 10

what is heavily elevated in schistosomiasis ?

Answer 10

eosinophils