Schistosomiasis natural history, complications and prognosis: Difference between revisions
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{{Schistosomiasis}} | {{Schistosomiasis}} | ||
{{CMG}} | {{CMG}} ; {{AE}} {{ADG}} | ||
==Overview== | |||
If left untreated, most of the patients with schistosomiasis may progress to develop ulceration or [[cancer of the bladder]], [[liver]] or [[kidney failure]]. Common complications of schistosomiasis include [[hematuria]], [[malnutrition]], [[Polyps|intestinal polyps]], [[hydronephrosis]], [[glomerulonephritis]], bladder [[Polyp|polyps]], [[Bladder cancer|bladder cancer,]] [[infertility]], [[ectopic pregnancy]], [[renal failure]], and [[Cor pulmonale|cor-pulmonale]]. Depending on the extent of the disease progression at the time of diagnosis, the prognosis of schistosomiasis may vary. However, the prognosis is generally regarded as good with treatment. | |||
==Natural History== | |||
If left untreated, most of the patients with [[schistosomiasis]] may progress to develop [[ulceration]] or [[cancer of the bladder]], [[liver]] or [[kidney failure]].<ref name="pmid25183124">{{cite journal |vauthors=Gundamaraju R |title=Novel antipathy for schistosomiasis-the most lethal ailment of the tropical region |journal=Asian Pac J Trop Biomed |volume=4 |issue=Suppl 1 |pages=S43–5 |year=2014 |pmid=25183124 |pmc=4025338 |doi=10.12980/APJTB.4.2014C831 |url=}}</ref> | |||
==Complications== | |||
Common complications of schistosomiasis include:<ref name="pmid11469998">{{cite journal |vauthors=Schafer TW, Hale BR |title=Gastrointestinal complications of schistosomiasis |journal=Curr Gastroenterol Rep |volume=3 |issue=4 |pages=293–303 |year=2001 |pmid=11469998 |doi= |url=}}</ref><ref name="pmid11819515">{{cite journal |vauthors=Wu GY, Halim MH |title=Schistosomiasis: progress and problems |journal=World J. Gastroenterol. |volume=6 |issue=1 |pages=12–19 |year=2000 |pmid=11819515 |pmc=4723577 |doi= |url=}}</ref> | |||
*[[Hematuria]] | |||
*[[Malnutrition]] | |||
*[[Growth retardation]] | |||
*[[Anemia of chronic disease]] | |||
*[[Cervicitis]] | |||
*[[Iron deficiency anemia|Iron-deficiency anemia]] | |||
*[[Splenomegaly]] | |||
*[[Polyps|Intestinal polyps]] | |||
*[[Hydronephrosis]] | |||
*[[Glomerulonephritis]] | |||
*[[Salmonella infections|Recurrent Salmonella bacteremia]] | |||
*Bladder polyps | |||
*[[Bladder cancer]] | |||
*[[Infertility]] | |||
*[[Ectopic pregnancy]] | |||
*[[Portal hypertension]] | |||
*[[Esophageal varices]] | |||
*[[Ascites]] | |||
*[[Intestinal obstruction]] | |||
*[[Obstructive uropathy]] | |||
*[[Renal failure]] | |||
*[[Seizures|Generalized seizures]] | |||
*[[Spinal cord compression]] | |||
*[[Cor pulmonale]] | |||
== | ==Prognosis== | ||
*Depending on the extent of the [[disease]] progression at the time of diagnosis, the [[prognosis]] of schistosomiasis may vary. | |||
*Prognosis is good with treatment. | |||
*The 1-year [[mortality]] rate of patients with schistosomiasis ranges approximately 0.1-11% depending upon underlying [[complications]]. | |||
*If symptoms of schistosomiasis persists after 2 rounds of [[praziquantel]] treatment, more [[urine]] or [[stool]] samples should be taken and tested for viable [[Parasites|parasite]] eggs, and re-treatment must be given if persistent [[infection]] is detected.<ref name="urlCDC - Schistosomiasis - Resources for Health Professionals">{{cite web |url=https://www.cdc.gov/parasites/schistosomiasis/health_professionals/index.html |title=CDC - Schistosomiasis - Resources for Health Professionals |format= |work= |accessdate=}}</ref><ref name="urlWHO | Schistosomiasis">{{cite web |url=http://www.who.int/mediacentre/factsheets/fs115/en/ |title=WHO | Schistosomiasis |format= |work= |accessdate=}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | |||
[[Category:Disease]] | |||
[[Category: | |||
[[Category:Water-borne diseases]] | [[Category:Water-borne diseases]] | ||
[[Category:Parasitic diseases]] | [[Category:Parasitic diseases]] | ||
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[[Category:Hepatology]] | [[Category:Hepatology]] | ||
[[Category:Neglected diseases]] | [[Category:Neglected diseases]] | ||
Latest revision as of 18:11, 5 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
If left untreated, most of the patients with schistosomiasis may progress to develop ulceration or cancer of the bladder, liver or kidney failure. Common complications of schistosomiasis include hematuria, malnutrition, intestinal polyps, hydronephrosis, glomerulonephritis, bladder polyps, bladder cancer, infertility, ectopic pregnancy, renal failure, and cor-pulmonale. Depending on the extent of the disease progression at the time of diagnosis, the prognosis of schistosomiasis may vary. However, the prognosis is generally regarded as good with treatment.
Natural History
If left untreated, most of the patients with schistosomiasis may progress to develop ulceration or cancer of the bladder, liver or kidney failure.[1]
Complications
Common complications of schistosomiasis include:[2][3]
- Hematuria
- Malnutrition
- Growth retardation
- Anemia of chronic disease
- Cervicitis
- Iron-deficiency anemia
- Splenomegaly
- Intestinal polyps
- Hydronephrosis
- Glomerulonephritis
- Recurrent Salmonella bacteremia
- Bladder polyps
- Bladder cancer
- Infertility
- Ectopic pregnancy
- Portal hypertension
- Esophageal varices
- Ascites
- Intestinal obstruction
- Obstructive uropathy
- Renal failure
- Generalized seizures
- Spinal cord compression
- Cor pulmonale
Prognosis
- Depending on the extent of the disease progression at the time of diagnosis, the prognosis of schistosomiasis may vary.
- Prognosis is good with treatment.
- The 1-year mortality rate of patients with schistosomiasis ranges approximately 0.1-11% depending upon underlying complications.
- If symptoms of schistosomiasis persists after 2 rounds of praziquantel treatment, more urine or stool samples should be taken and tested for viable parasite eggs, and re-treatment must be given if persistent infection is detected.[4][5]
References
- ↑ Gundamaraju R (2014). "Novel antipathy for schistosomiasis-the most lethal ailment of the tropical region". Asian Pac J Trop Biomed. 4 (Suppl 1): S43–5. doi:10.12980/APJTB.4.2014C831. PMC 4025338. PMID 25183124.
- ↑ Schafer TW, Hale BR (2001). "Gastrointestinal complications of schistosomiasis". Curr Gastroenterol Rep. 3 (4): 293–303. PMID 11469998.
- ↑ Wu GY, Halim MH (2000). "Schistosomiasis: progress and problems". World J. Gastroenterol. 6 (1): 12–19. PMC 4723577. PMID 11819515.
- ↑ "CDC - Schistosomiasis - Resources for Health Professionals".
- ↑ "WHO | Schistosomiasis".