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New Insights on Acute and Chronic Schistosomiasis: Do We Need a Redefinition?
Metadata
Journaltrends in parasitology6.918Date
2020 Jun 03
4 months ago
Type
Review
Journal Article
Volume
2020-Aug / 36 : 660-667
Author
Gobbi F 1, Tamarozzi F 2, Buonfrate D 2, van Lieshout L 3, Bisoffi Z 4, Bottieau E 5, TropNet Schisto Task Force 6
Affiliation
  • 2. Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (Verona), Italy.
  • 3. Department of Parasitology, Leiden University Medical Centre, Leiden, The Netherlands.
  • 4. Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (Verona), Italy; Università degli Studi di Verona, Verona, Italy.
  • 5. Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
  • 6. TropNet Schisto Task Force
Doi
PMIDMESH
Abstract
A precise timeframe to differentiate acute schistosomiasis (AS) and chronic schistosomiasis (CS) is not well defined. Based on recent published literature, lung nodular lesions in AS and CS seem to have the same pathophysiology, that is, eggs laid in situ by adult worms, during an ectopic migration. Moreover, the occurrence of lung nodules due to clusters of eggs and the systemic immunoallergic reaction of AS (Katayama syndrome) may be two separate clinical entities, which may overlap during the early phase of infection. Consequently, the classical distinction between AS and CS loses much of its conceptual validity. If adult worms play a more important role in the early phase of the disease the clinical management of AS should probably be revised.
Keywords: Katayama syndrome acute and chronic schistosomiasis lung nodule neuroschistosomiasis praziquantel pulmonary schistosomiasis
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6.9
Trends Parasitoltrends in parasitology
Metadata
LocationEngland
FromELSEVIER SCI LTD

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