Schistosomiasis

Question 1

urinary schistosomiasis symptoms include

Answer 1

terminal hematuria, 
dysuria, 
frequent urination 
hydronephrosis, 
pyelonephritis, 
squamous cell cancer of the bladder

Question 2

What causes urinary schistosomiasis?

Answer 2

S Haematobium

north africa, sub saharan africa and middle east

Question 3

What are the symptoms of intestinal schistosomiasis and what species causes this?

Answer 3

S mansoni.

See diarrhea, abdominal pain and intestinal ulceration and see iron deficiency anemia

Question 4

What countries do we see S mansoni?

Answer 4

sub saharan africa, middle east, south america, and caribbean

See intestinal schistosomiasis

Question 5

What are the symptoms of hepatic schistosomiasis

Answer 5

hepatic schistosomiasis?

hepatosplenomegaly and periportal fibrosis and subsequent portal hypertension

Question 6

What causes hepatic schistosomiasis?

Answer 6

s Japonicum

seen in Asia, and China, Phillippines and Japan

Question 7

laboratory findings of schistosomiasis infection

Answer 7

eosinophilia

Question 8

genitourinary schistosomiasis can have

Answer 8

dysuria, urinary frequency, bladder outlet obstruction and terminal hematuria.

Question 9

Disease with genitourinary schistosomiasis is from

Answer 9

granulomatous immune reaction to the deposits of schistosomal eggs in the tissues

Question 10

Diagnosis of schistosomiasis

Answer 10

identifying and quantifying eggs in the urine and stool and serology is better due to lighter disease burden and higher test sensitivity

Question 11

treatment of schistosomiasis

Answer 11

praziquantel

Question 12

acute onset of fevers, allergic type symptoms with urticarial lesions and angioedema with high eosinophilia with recent trip to sub Saharan Africa

Answer 12

acute schistosomiasis syndrome (Katayama fever)

Will have history of freshwater exposure

Question 13

what is Katayama fever or acute schistosomiasis

Answer 13

systemic hypersensitivity reaction against schistosomal eggs and larvae which occurs about 14-28 days after infection.

Question 14

What do you see on CXR during Katayama fever or acute schistosomiasis

Answer 14

CXR has infiltrates

Question 15

Katayama fever or acute schistosomiasis treatment

Answer 15

self limiting in days to weeks. May get corticosteroids during acute phase followed by praziquantel to prevent long term helminth infection complications (hydronephrosis and bladder squamous cell carcinoma)

Question 16

long term complications of Katayama fever or acute schistosomiasis

Answer 16

(hydronephrosis and bladder squamous cell carcinoma)

Question 17

will you see schistosomiasis eggs or have positive serological testing in Katayama fever or acute schistosomiasis

Answer 17

No it can be negative. So don’t rely upon this.

Question 18

unremitting high fevers and severe polyarthralgia

Answer 18

Chikungunya fever

Question 19

non pruritic red papule that forms and ulcer with granulomatous tissue at base and red margins

Answer 19

cutaneous leishmaniasis

Caused by sandfly

Question 20

pt has flatulence, diarrhea, lactose intolerance and malabsorption but no fever.

Answer 20

amebiasis