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SchistosomiasisAka: Bilharziasis, Katayama Fever

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

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This page was written by Scott Moses, MD. This page was last revised on 4/26/2008 9:16:39 PM. This page was last published on 4/29/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.