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Doctor insights on: Schistosomiasis

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Dr. Brad Goldenberg
20 doctors shared insights

Schistosomiasis (Overview)

Shistosoma are parasites which live in fresh water in many areas of africa, asia, and the middle east.The parasite can infected you simply by entering through intact (healthy) skin. The parasite travels througout your body and can cause problems years later. International travelers should check both the cdc website and with their travel medicne provider to learn how to protect themselves.


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Can you die from schistosomiasis?

Can you die from schistosomiasis?

Schistosomiasis bad: Chronic schistosomiasis is the inflammatory response caused by schistosome eggs deposited in intestine, carried to liver by way of portal circulation, or that reach the lungs or other sites thru the bloodstream. The degree of pathology depends on the worm burden & the host's immune response but can result in varices with bleed, ascites, lung fibrosis, & diseases of gallbladder, kidney, appendix. ...Read more

Dr. Brad Goldenberg
20 doctors shared insights

Schistosomiasis (Overview)

Shistosoma are parasites which live in fresh water in many areas of africa, asia, and the middle east.The parasite can infected you simply by entering through intact (healthy) skin. The parasite travels througout your body and can cause problems years later. International travelers should check both the cdc website and with their travel medicne provider to learn how to protect themselves.


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Are the symptoms of schistosomiasis bad?

Can be: Usually chronic, not acute. Acute: pain, cough, fever, diarrhea, fatigue., genital sores. Chronic: above, also rarely neurologic problems, including paralysis; also scarring of liver-causes big liver, spleen, varicose veins of esophagus or stomach (can cause life-threatening bleed), lung and kidney problems; can increase risk for bladder cancer, colon polyps. At risk? See your doc, get checked, rx. ...Read more

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What are the tests for schistosomiasis?

What are the tests for schistosomiasis?

Blood or tissue: The best test is finding the characteristic eggs in the stool, rectal biopsy, urine, urinary bladder or liver. Antibody tests are available but less useful. ...Read more

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Who treats schistosomiasis, and what is the history of the disease?

ID docs: It is acquired from fresh water harboring the cerebral form. The adult worms wind up in the venous system of the colon or urinary bladder depending on the type of worm. The disease is due to the body's reaction to the eggs, either in the liver causing cirrhosis or in the urinary bladder causing scarring there. ...Read more

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What is the treatment for schistosomiasis?

Praziquantel: The anti-parastitic drug Praziquantel is highly effective. ...Read more

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Can schistosomiasis be cured?

Rx 4 schistosomiasis: Traditionally, schistosomiasis (regardless of strain like s. Haematobium, s.Intercalatum, s.Japonicum, s.Mansoni, s.Mekongi, & even for toxemic schisto with massive infection by schisto) is treated with praziquantel. For possible praziquantel-resistance, oxamniquine is offered. Metrifonate may work alternatively for s.Haematobium. Prevention is best, but if infected please speak with your doctor. ...Read more

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What is schistosomiasis?

A Trematode disease: Schistosomiasis is a disease cause by one of several types of this worm that lives with its mate in a state of eternal copulation in the veins draining from the intestine or urinary bladder. The disease is not due to the procreating adults but rather our immune reaction to the eggs that wind up in the liver causing cirrhosis or in the urinary bladder causing blood in the urine or scarred bladder. ...Read more

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Can schistosomiasis be cured?

Rx 4 schistosomiasis: Traditionally, schistosomiasis (regardless of strain like s. Haematobium, s.Intercalatum, s.Japonicum, s.Mansoni, s.Mekongi, & even for toxemic schisto with massive infection by schisto) is treated with praziquantel. For possible praziquantel-resistance, oxamniquine is offered. Metrifonate may work alternatively for s.Haematobium. Prevention is best, but if infected please speak with your doctor. ...Read more

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Can you die from schistosomiasis?

Schistosomiasis bad: Chronic schistosomiasis is the inflammatory response caused by schistosome eggs deposited in intestine, carried to liver by way of portal circulation, or that reach the lungs or other sites thru the bloodstream. The degree of pathology depends on the worm burden & the host's immune response but can result in varices with bleed, ascites, lung fibrosis, & diseases of gallbladder, kidney, appendix. ...Read more

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Do a lot of people get schistosomiasis?

Schisto Epidemiology: Different strains of schistosomiasis are widespread in africa and multiple areas of latin america, far east, china, coastal river valleys in japan, numerous islands of the philippines, indochina, and in foci of the middle east. They enter human skin when contact is made during bathing, fishing, or other water-related activities in the above regions. ...Read more