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Schistosoma mansoni


Diseases | Sites and Sources | Diagnostic Factors | Virulence Factors | Treatment and Prevention | Commentary

Category
blood fluke
Classification
helminth, trematode


Diseases


Schistosomiasis mansoni (Bilharziasis)
fever eosinophilia abdominal pain
diarrhea, bloody diarrhea, inflammatory blood in stool
fecal leukocytes lymphadenopathy splenomegaly
ascites dermatitis cough
esophageal varices hepatic portal fibrosis portal hypertension
hepatomegaly hypertension transverse myelitis
encephalopathy CNS damage  


Schistosomal dermatitis (Swimmer's itch)
itching inflammation  


Sites and Sources

subtropics, source tropics, source fresh water, source
snails, source African rivers, source Carribean rivers, source
South American rivers, source lung, pathogen skin, pathogen
CNS, pathogen GI tract, pathogen mesenteric veins, pathogen
inferior mesenteric veins, pathogen blood, pathogen liver, pathogen

Diagnostic Factors

serology biopsy eggs in stool
fecal exam stool exam  

Virulence Factors

LIFE CYCLE skin penetration

Treatment and Prevention

sanitation vector control praziquantel

Commentary

Schistosomiasis is an infection of high prevalence and morbidity. Three species of schistosomes cause human disease .These differ in geographic distribution (S. JAPONICUM, S. MANSONI, S. HAEMATOBIUM). Species also differ in location within the venous system but in all species, disease is produced primarily by acute and chronic inflammatory responses to schistosome eggs. Fibro-obstructive disease in the liver and portal hypertension are major responses to S. mansoni infections although there may be little or no overt disease with chronic infection. Transmission cycle is complex with a snail intermediate host. Swimmer's itch, which is caused by Schistosoma mansoni, can also be caused by other species of Schistosomes from birds or other animals.


  Updated: May 12, 1999
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