Infectious Disease Book

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SchistosomiasisAka: Bilharziasis, Katayama Fever

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  1. Transmission
    1. Vectors
      1. Fluke
      2. Intermediary freshwater snail
    2. Parasite enters unbroken skin in infested water
  2. Symptoms: Acute Illness (Katayama fever)
    1. Fever
    2. Malaise
    3. Abdominal Pain
    4. Diarrhea
    5. Weight loss
    6. Arthralgias
    7. Cough
  3. Complications
    1. Severe neurologic sequelae (rare)
  4. Diagnosis: Microscopic exam of stool and urine
    1. Eggs
    2. Eosinophilia
  5. Management
    1. Praziquantel 40-60 mg/kg for 1 dose

Schistosomiasis (C0036323)

Definition (MSH)Infection with flukes (trematodes) of the genus SCHISTOSOMA. Three species produce the most frequent clinical diseases: SCHISTOSOMA HAEMATOBIUM (endemic in Africa and the Middle East), SCHISTOSOMA MANSONI (in Egypt, northern and southern Africa, some West Indies islands, northern 2/3 of South America), and SCHISTOSOMA JAPONICUM (in Japan, China, the Philippines, Celebes, Thailand, Laos). S. mansoni is often seen in Puerto Ricans living in the United States. (Merck Manual, 15th ed)
Definition (CSP)parasitic disease of tropical and subtropical countries; characterized initially by fever, chills, and abdominal and lower back pain; untreated patients may develop jaundice, liver cirrhosis, bladder tumors, and kidney failure.
ConceptsDisease or Syndrome (T047)
ICD9120, 120, 120.9, 120.9
MSHD012552
EnglishBilharzia, Bilharziases, Bilharziasis, Blood fluke infection, Disease due to Schistosomatidae, Haemic distomiasis, Hemic distomiasis, Infection by Schistosoma, Schistosomiases, Schistosomiasis, Schistosomiasis - bilharziasis, Schistosomosis
Spanishbilarziasis, bilarziosis, bilharziasis, bilharziosis, distomiasis hemica, duela sanguinea, enfermedad por Schistosomatidae, esquistosomiasis, esquistosomosis, infeccion por Schistosoma, trematodos sanguineos
Parent ConceptsHelminthiasis (C0018889), Intestinal Diseases, Parasitic (C0021832), Liver Diseases, Parasitic (C0023897), Schistosomiasis (C0036323), Trematode Infections (C0040820), Parasitic infection (C0747256)
SourcesCOSTAR, CSP, DXP, ICD9CM, LCH, MSH, MTH, MTHICD9, NCI, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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