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Related Experiment Videos

Pulmonary schistosomiasis.

Eli Schwartz1

  • 1Center for Geographic Medicine, Chaim Sheba Medical Center, Department of Medicine C, 52621 Tel Hashomer, Israel. elischwa@post.tau.ac.il

Clinics in Chest Medicine
|July 3, 2002
PubMed
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Schistosoma infection, once confined to endemic areas, now increasingly affects nonimmune travelers globally. Pulmonary involvement is a common, often early, manifestation in these new patient populations.

Area of Science:

  • Medical Parasitology
  • Infectious Diseases
  • Pulmonology

Background:

  • Schistosomiasis is a prevalent infectious disease historically limited to endemic regions.
  • Increased global migration and travel lead to more cases in nonendemic, developed countries.
  • Nonimmune travelers present distinct clinical patterns compared to endemic populations.

Purpose of the Study:

  • To investigate the changing epidemiology of schistosomiasis.
  • To highlight pulmonary involvement as a significant feature in nonimmune populations.
  • To guide clinicians in differential diagnosis for pulmonary conditions.

Main Methods:

  • Comparative analysis of schistosomiasis presentation in endemic vs. nonendemic populations.
  • Review of clinical patterns, focusing on pulmonary manifestations.

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  • Emphasis on diagnostic considerations including travel history and eosinophilia.

    • Main Results:

    • Pulmonary involvement in schistosomiasis is more common in nonimmune travelers than previously suspected.
    • Early (acute) pulmonary schistosomiasis is frequently encountered by Western clinicians.
    • Late (chronic) schistosomiasis may be seen in immigrants from endemic areas.

    Conclusions:

    • Schistosomiasis should be considered in the differential diagnosis of pulmonary pathology, particularly with eosinophilia.
    • Understanding the distinct clinical presentations in nonimmune populations is crucial.
    • Mandatory evaluation of patient travel history is essential for accurate diagnosis.