Acute schistosomiasis: clinical, diagnostic and therapeutic features.
Three distinct syndromes caused by schistosomiasis have been described: cercarial dermatitis or swimmer's itch, acute schistosomiasis or Katayama fever, and chronic schistosomiasis. Complications of acute schistosomiasis have also been reported. The absence of a serological marker for the acute stage has hindered early diagnosis and treatment. Recently, an ELISA test using KLH (keyhole limpet haemocyanin) as antigen, has proved useful in differentiating acute from chronic schistosomiasis mansoni. Clinical and experimental evidence indicate that steroids act synergistically with schistosomicides in the treatment of Katayama syndrome. In this paper, clinical, diagnostic and therapeutic features of acute schistosomiasis are updated.
Lambertucci
J R
JR
Department of Internal Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D001927:Brain Diseases / Q000188:drug therapy; D004359:Drug Therapy, Combination; D004797:Enzyme-Linked Immunosorbent Assay; D006433:Hemocyanins; D006801:Humans; D010073:Oxamniquine / Q000008:administration & dosage; D011223:Praziquantel / Q000008:administration & dosage; D012552:Schistosomiasis / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology
D000305:Adrenal Cortex Hormones; D010073:Oxamniquine; D011223:Praziquantel; D006433:Hemocyanins