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Schistosomiasis in German children.

R Bialek1, J Knobloch

  • 1Institut für Tropenmedizin, Universitätsklinikum Tübingen, Germany. ralf.bialek@med.uni-tuebingen.de

European Journal of Pediatrics
|August 3, 2000
PubMed
Summary

Schistosomiasis in European children is uncommon but increasing due to travel. Immunodiagnostics are more effective than parasitological or ultrasound exams for diagnosing this parasitic infection in non-endemic settings.

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Area of Science:

  • Tropical medicine
  • Pediatric infectious diseases
  • Parasitology

Background:

  • Schistosomiasis (bilharzia) is a parasitic disease rare in Europe, but increased global travel raises concerns.
  • Reports on pediatric schistosomiasis in non-endemic regions like Europe are infrequent.
  • This study details cases of schistosomiasis diagnosed in German children.

Purpose of the Study:

  • To describe clinical presentations and diagnostic challenges of schistosomiasis in European children.
  • To evaluate the efficacy of different diagnostic methods in this population.
  • To assess treatment outcomes and long-term antibody responses.

Main Methods:

  • Case series of 11 German children diagnosed with schistosomiasis.
  • Review of clinical data, diagnostic test results (antibody screening, ova detection, ultrasound), and treatment follow-up.
  • Analysis of parasitological, serological, and imaging findings.

Main Results:

  • Eleven children (50 months–15 years) diagnosed with schistosomiasis; six asymptomatic, two with Katayama fever.
  • Schistosomal ova detected in only three children; bladder lesions in one.
  • Antibody tests were positive in all children, while parasitological and ultrasound results were less consistent.
  • Praziquantel treatment was effective, though one child required a second course due to persistent antibodies.

Conclusions:

  • Immunodiagnostics are superior to parasitological and ultrasound examinations for diagnosing schistosomiasis in children from non-endemic areas.
  • Serological monitoring is crucial for assessing treatment efficacy and potential long-term antibody persistence.
  • Pediatricians should consider schistosomiasis in children with relevant travel history, even with non-specific symptoms.

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