- 1 On being a patient
- 2 Modern medicine: foundations, achievements, and limitations
- 3 Global patterns of disease and medical practice
- 4 Cell biology
- 5 Immunological mechanisms
- 6 Principles of clinical oncology
- 7 Infection
- 7.1 Pathogenic microorganisms and the host
- 7.2 The patient with suspected infection
- 7.3 Immunization
- 7.4 Travel and expedition medicine
- 7.5 Viruses
- 7.6 Bacteria
- 7.7 Fungi (mycoses)
- 7.8 Protozoa
- 7.9 Nematodes (roundworms)
- 7.10 Cestodes (tapeworms)
- 7.11 Trematodes (flukes)
- 7.11.1 Schistosomiasis
- 7.11.2 Liver fluke infections
- 7.11.3 Lung flukes (paragonimiasis)
- 7.11.4 Intestinal trematode infections
- 7.12 Nonvenomous arthropods
- 7.13 Pentastomiasis (porocephalosis, linguatulosis/linguatuliasis)
- 8 Sexually transmitted diseases and sexual health
- 9 Chemical and physical injuries and environmental factors and disease
- 10 Clinical pharmacology
- 11 Nutrition
- 12 Metabolic disorders
- 13 Endocrine disorders
- 14 Medical disorders in pregnancy
- 15 Gastroenterological disorders
- 16 Cardiovascular disorders
- 17 Critical care medicine
- 18 Respiratory disorders
- 19 Rheumatological disorders
- 20 Disorders of the skeleton
- 21 Disorders of the kidney and urinary tract
- 22 Disorders of the blood
- 23 Disorders of the skin
- 24 Neurological disorders
- 25 The eye
- 26 Psychiatry and drug related problems
- 27 Forensic medicine
- 28 Sports medicine
- 29 Geratology
- 30 Pain
- 31 Palliative medicine
- 32 Biochemistry in medicine
- 33 Acute medicine
Schistosomiasis
- Chapter:
- Schistosomiasis
- Author(s):
D.W. Dunne
and B.J. Vennervald
- DOI:
- 10.1093/med/9780199204854.003.071101_update_001
February 27, 2014: This chapter has been re-evaluated and remains up-to-date. No changes have been necessary.
Update:
Female genital schistosomiasis—association with HIV.
Schistosoma haematobium—now classified as definitely carcinogenic in humans.
Pulmonary manifestations—schistosomiasis should be considered in the differential diagnosis of pulmonary hypertension and cor pulmonale.
Diagnosis—multiplex real-time PCR for detection of schistosome DNA in stool samples proved useful in epidemiological studies.
Treatment—artemisinin-based combination therapies (ACTs) in S. mansoni and S. haematobium in Africa proved inferior to single-dose praziquantel.
Treatment of nervous system manifestations—combination of praziquantel and corticosteroids appears effective.
Vaccine—Bilhvax, currently in a phase III clinical trial in Senegal.
Schistosomiasis is caused by trematode worms Schistosoma spp., whose life cycle requires a definitive vertebrate host and an intermediate freshwater snail host. Transmission to humans occurs through exposure to fresh water containing infectious larvae, which can penetrate intact skin before developing into blood-dwelling adult worms. The disease is patchily distributed in parts of South America, Africa, the Middle East, China, and South East Asia, with about 200 million people infected and 20 million suffering severe consequences of infection....
Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.
Please subscribe or login to access full text content.
If you have purchased a print title that contains an access token, please see the token for information about how to register your code.
For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.
- 1 On being a patient
- 2 Modern medicine: foundations, achievements, and limitations
- 3 Global patterns of disease and medical practice
- 4 Cell biology
- 5 Immunological mechanisms
- 6 Principles of clinical oncology
- 7 Infection
- 7.1 Pathogenic microorganisms and the host
- 7.2 The patient with suspected infection
- 7.3 Immunization
- 7.4 Travel and expedition medicine
- 7.5 Viruses
- 7.6 Bacteria
- 7.7 Fungi (mycoses)
- 7.8 Protozoa
- 7.9 Nematodes (roundworms)
- 7.10 Cestodes (tapeworms)
- 7.11 Trematodes (flukes)
- 7.11.1 Schistosomiasis
- 7.11.2 Liver fluke infections
- 7.11.3 Lung flukes (paragonimiasis)
- 7.11.4 Intestinal trematode infections
- 7.12 Nonvenomous arthropods
- 7.13 Pentastomiasis (porocephalosis, linguatulosis/linguatuliasis)
- 8 Sexually transmitted diseases and sexual health
- 9 Chemical and physical injuries and environmental factors and disease
- 10 Clinical pharmacology
- 11 Nutrition
- 12 Metabolic disorders
- 13 Endocrine disorders
- 14 Medical disorders in pregnancy
- 15 Gastroenterological disorders
- 16 Cardiovascular disorders
- 17 Critical care medicine
- 18 Respiratory disorders
- 19 Rheumatological disorders
- 20 Disorders of the skeleton
- 21 Disorders of the kidney and urinary tract
- 22 Disorders of the blood
- 23 Disorders of the skin
- 24 Neurological disorders
- 25 The eye
- 26 Psychiatry and drug related problems
- 27 Forensic medicine
- 28 Sports medicine
- 29 Geratology
- 30 Pain
- 31 Palliative medicine
- 32 Biochemistry in medicine
- 33 Acute medicine