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[Acute form of primary bilharziasis]
J P Algayres1, J P Daly, C Laverdant
1Clinique médicale, hôpital d'instruction des armées du Val-de-Grâce, Paris.
La Revue Du Praticien
|February 15, 1993
Summary
Acute schistosomiasis, caused by Schistosoma parasites, presents with fever and organ-specific symptoms within months of exposure. Diagnosis relies on serological tests, with treatment involving praziquantel and corticosteroids.
Area of Science:
- Tropical Medicine
- Infectious Diseases
- Parasitology
Context:
- Schistosomiasis is a parasitic disease caused by flatworms of the genus Schistosoma.
- Acute schistosomiasis follows primary infestation, predominantly by Schistosoma mansoni and Schistosoma japonicum.
- Clinical manifestations arise within 2 weeks to 6 months post-exposure.
Purpose:
- To describe the clinical presentation, diagnosis, and treatment of acute schistosomiasis.
- To highlight the key parasitic agents and their epidemiological context.
- To outline the diagnostic modalities and therapeutic strategies for acute schistosomiasis.
Summary:
- Acute schistosomiasis presents with fever, cutaneous, pulmonary, and gastrointestinal symptoms, often accompanied by frequent eosinophilia.
- Diagnosis is primarily achieved through serological tests.
- Rarely, myelopathies can occur, potentially leading to severe sequelae.
Impact:
- Provides essential information for clinicians managing acute schistosomiasis.
- Emphasizes the importance of early diagnosis and appropriate treatment to prevent severe complications.
- Contributes to the understanding of schistosomiasis pathogenesis and management strategies.