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

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