Schistosomiasis - Revision history

Rossdonaldson1: /* Evaluation */

2020-05-02T12:52:43Z

Evaluation

← Revisión anterior		Revisión del 12:52 2 may 2020
Línea 31:		Línea 31:
	==Evaluation==		==Evaluation==
	[[File:Schistosomiaisis Bladder Calcifications.png\|thumb\|Calcifications on bladder wall caused by urinary schistosomiasis]]		[[File:Schistosomiaisis Bladder Calcifications.png\|thumb\|Calcifications on bladder wall caused by urinary schistosomiasis]]
			[[File:PMC4891583 gr3d.png\|thumb\|CT of hepatosplenic S. mansoni infection illustrating irregular liver surface and periportal fibrosis and enhancement of portal venous structures surrounded by inner ring of hypoattenuation and outer ring of enhancement (arrows). Hypoattenuated ring presumably represents areas of periportal fibrosis with decreased vascularity, whereas enhancing rim may be due to periportal inflammation. These concentric rings correspond to the “bull's eye” appearance of periportal fibrosis previously described with ultrasound.]]

	===Work-up===		===Work-up===
	*ELISA		*ELISA

Rossdonaldson1: /* Evaluation */

2020-05-02T11:10:55Z

Evaluation

← Revisión anterior		Revisión del 11:10 2 may 2020
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	==Evaluation==		==Evaluation==
			[[File:Schistosomiaisis Bladder Calcifications.png\|thumb\|Calcifications on bladder wall caused by urinary schistosomiasis]]
	===Work-up===		===Work-up===
	*ELISA		*ELISA

ClaireLewis: /* Evaluation */

2019-10-02T00:41:01Z

Evaluation

← Revisión anterior		Revisión del 00:41 2 oct 2019
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	*Stool and Urine for ova/parasites		*Stool and Urine for ova/parasites
	**biopsy may be needed for those who do not show ova/parasites in stool/urine		**biopsy may be needed for those who do not show ova/parasites in stool/urine
	*CBC, ~~Alk Phos~~, ~~GGT~~, ~~ALT/AST, Cr, Blood~~ cultures		*CBC, [[LFTs]], BMP, blood cultures
	*Consider [[ultrasound]] for hepatosplenic (periportal fibrosis) or urinary disease (hydro)		*Consider [[ultrasound]] for hepatosplenic (periportal fibrosis) or urinary disease (hydro)
	*[[Echocardiography]] and [[CXR]] for pulmonary hypertension and/or cor pulmonale		*[[Echocardiography]] and [[CXR]] for pulmonary hypertension and/or cor pulmonale
	*Consider CT or MRI for CNS disease or further workup of periportal fibrosis		*Consider [[head CT\|CT]] or [[brain MRI\|MRI]] for CNS disease or further workup of periportal fibrosis

	==Management==		==Management==

ClaireLewis at 17:23, 26 August 2019

2019-08-26T17:23:03Z

← Revisión anterior		Revisión del 17:23 26 ago 2019
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	==Clinical Features==		==Clinical Features==
	===Acute===		===Acute===
	*Cutaneous rash/~~itching~~ from cercariae penetration (immediate)		*Cutaneous [[rash]]/[[pruritus]] from cercariae penetration (immediate)
	*Katayama fever-Fever, [[abdominal pain]], ~~Fatigue~~, ~~Cough~~, [[~~Diarrhea~~]], ~~Eosinophilia (lasts~~ 4-8 weeks)		*Katayama fever
			**[[Fever]], [[abdominal pain]], [[fatigue]], [[cough]], [[diarrhea]], [[eosinophilia]]
			**Lasts 4-8 weeks

	===Chronic (mostly a chronic condition)===		===Chronic (mostly a chronic condition)===
	*Second most common cause of esophageal ~~varicies~~ worldwide		*Second most common cause of [[esophageal varices]] worldwide
	*Greatly elevated bladder cancer rates in endemic areas		*Greatly elevated bladder cancer rates in endemic areas
	*Can cause renal failure, liver failure, [[pulmonary hypertension]], [[GI bleed]]s and rarely CNS symptoms		*Can cause [[renal failure]], [[liver failure]], [[pulmonary hypertension]], [[GI bleed]]s and rarely CNS symptoms
	**Mostly through fibrosis of affected organs		**Mostly through fibrosis of affected organs
	*Genitourinary schistosomiasis		*Genitourinary schistosomiasis
Línea 24:		Línea 26:
	*[[UTI]]		*[[UTI]]
	*[[STD]]		*[[STD]]
	*~~Intestional~~ parasites		*Intestinal [[parasites]]
	*[[Traveler's diarrhea]]		*[[Traveler's diarrhea]]

Línea 35:		Línea 37:
	*CBC, Alk Phos, GGT, ALT/AST, Cr, Blood cultures		*CBC, Alk Phos, GGT, ALT/AST, Cr, Blood cultures
	*Consider [[ultrasound]] for hepatosplenic (periportal fibrosis) or urinary disease (hydro)		*Consider [[ultrasound]] for hepatosplenic (periportal fibrosis) or urinary disease (hydro)
	*~~Echo~~ and CXR for pulmonary hypertension and/or cor pulmonale		*[[Echocardiography]] and [[CXR]] for pulmonary hypertension and/or cor pulmonale
	*Consider CT or MRI for CNS disease or further workup of periportal fibrosis		*Consider CT or MRI for CNS disease or further workup of periportal fibrosis

	==Management==		==Management==
	*Praziquantel 20mg/kg PO for two doses in 1 day <ref>CDC. Schistosomiasis. http://www.cdc.gov/parasites/schistosomiasis/health_professionals/index.html</ref>		*[[Praziquantel]] 20mg/kg PO for two doses in 1 day <ref>CDC. Schistosomiasis. http://www.cdc.gov/parasites/schistosomiasis/health_professionals/index.html</ref>
	**S.japnonicum requires 3 doses in 1 day		**S.japnonicum requires 3 doses in 1 day

Rossdonaldson1 at 13:14, 8 December 2017

2017-12-08T13:14:24Z

← Revisión anterior		Revisión del 13:14 8 dic 2017
Línea 7:		Línea 7:

	==Clinical Features==		==Clinical Features==
	*Mostly a chronic condition		===Acute===
	**Second most common cause of esophageal varicies worldwide		*Cutaneous rash/itching from cercariae penetration (immediate)
	**Greatly elevated bladder cancer rates in endemic areas		*Katayama fever-Fever, [[abdominal pain]], Fatigue, Cough, [[Diarrhea]], Eosinophilia (lasts 4-8 weeks)
	**Can cause renal failure, liver failure, [[~~pulmonary hypertension~~]], [[~~GI bleed~~]]~~s and rarely CNS symptoms~~
	***Mostly through fibrosis of affected organs
	**Genitourinary schistosomiasis
	***Caused by sores in the genital tract
	***May persist even after treatment
	***Greatly increases risk of [[HIV]] infection

	*~~Acute presentations~~		===Chronic (mostly a chronic condition)===
	**Cutaneous rash/itching from cercariae penetration (immediate)		*Second most common cause of esophageal varicies worldwide
	**Katayama fever-Fever, ~~Abdominal pain~~, ~~Fatigue~~, ~~Cough, Diarrhea, Eosinophilia (lasts 4-8 weeks)~~		*Greatly elevated bladder cancer rates in endemic areas
			*Can cause renal failure, liver failure, [[pulmonary hypertension]], [[GI bleed]]s and rarely CNS symptoms
			**Mostly through fibrosis of affected organs
			*Genitourinary schistosomiasis
			**Caused by sores in the genital tract
			**May persist even after treatment
			**Greatly increases risk of [[HIV]] infection

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* See Also */

2017-08-22T15:53:19Z

Mholtz at 02:48, 25 December 2016

2016-12-25T02:48:30Z

← Revisión anterior		Revisión del 02:48 25 dic 2016
Línea 29:		Línea 29:
	==Evaluation==		==Evaluation==
	===Work-up===		===Work-up===
	**ELISA		*ELISA
	**PCR from stool or urine		*PCR from stool or urine
	**Stool and Urine for ova/parasites		*Stool and Urine for ova/parasites
	***biopsy may be needed for those who do not show ova/parasites in stool/urine		**biopsy may be needed for those who do not show ova/parasites in stool/urine
	**CBC, Alk Phos, GGT, ALT/AST, Cr, Blood cultures		*CBC, Alk Phos, GGT, ALT/AST, Cr, Blood cultures
	**Consider [[ultrasound]] for hepatosplenic (periportal fibrosis) or urinary disease (hydro)		*Consider [[ultrasound]] for hepatosplenic (periportal fibrosis) or urinary disease (hydro)
	**Echo and CXR for pulmonary hypertension and/or cor pulmonale		*Echo and CXR for pulmonary hypertension and/or cor pulmonale
	**Consider CT or MRI for CNS disease or further workup of periportal fibrosis		*Consider CT or MRI for CNS disease or further workup of periportal fibrosis

	~~===Evaluation===~~


	==Management==		==Management==
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	==Disposition==		==Disposition==
			*Generally may be discharged
			*Admit if concern for CNS infection

	==See Also==		==See Also==
Línea 51:		Línea 50:

	==External Links==		==External Links==


	==References==		==References==

ClaireLewis: /* See Also */

2016-12-24T17:42:09Z

Rossdonaldson1: Text replacement - " US " to " ultrasound "

2016-11-13T19:49:03Z

Text replacement - " US " to " ultrasound "

← Revisión anterior		Revisión del 19:49 13 nov 2016
Línea 34:		Línea 34:
	***biopsy may be needed for those who do not show ova/parasites in stool/urine		***biopsy may be needed for those who do not show ova/parasites in stool/urine
	**CBC, Alk Phos, GGT, ALT/AST, Cr, Blood cultures		**CBC, Alk Phos, GGT, ALT/AST, Cr, Blood cultures
	**Consider US for hepatosplenic (periportal fibrosis) or urinary disease (hydro)		**Consider [[ultrasound]] for hepatosplenic (periportal fibrosis) or urinary disease (hydro)
	**Echo and CXR for pulmonary hypertension and/or cor pulmonale		**Echo and CXR for pulmonary hypertension and/or cor pulmonale
	**Consider CT or MRI for CNS disease or further workup of periportal fibrosis		**Consider CT or MRI for CNS disease or further workup of periportal fibrosis

Rossdonaldson1: Text replacement - "HTN" to "hypertension"

2016-07-31T09:39:28Z

Text replacement - "HTN" to "hypertension"

← Revisión anterior		Revisión del 09:39 31 jul 2016
Línea 35:		Línea 35:
	**CBC, Alk Phos, GGT, ALT/AST, Cr, Blood cultures		**CBC, Alk Phos, GGT, ALT/AST, Cr, Blood cultures
	**Consider US for hepatosplenic (periportal fibrosis) or urinary disease (hydro)		**Consider US for hepatosplenic (periportal fibrosis) or urinary disease (hydro)
	**Echo and CXR for pulmonary ~~HTN~~ and/or cor pulmonale		**Echo and CXR for pulmonary hypertension and/or cor pulmonale
	**Consider CT or MRI for CNS disease or further workup of periportal fibrosis		**Consider CT or MRI for CNS disease or further workup of periportal fibrosis

← Revisión anterior		Revisión del 15:53 22 ago 2017
Línea 47:		Línea 47:

	==See Also==		==See Also==
	*[[Parasitic ~~infections~~]]		*[[Parasitic infection]]

	==External Links==		==External Links==

← Revisión anterior		Revisión del 17:42 24 dic 2016
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	==See Also==		==See Also==
			*[[Parasitic infections]]

	==External Links==		==External Links==