Pediatric emergency medicine trisk 2396 2396

Site

Species

Katayama
fever

All

Symptoms

Diagnosis

Fever, malaise, cough,
Serology; can help
rash, abdominal pain,
with speciation,
nausea, diarrhea,
but cannot
tender
differentiate
hepatosplenomegaly,
ongoing infection,
lymphadenopathy, and
recent infection, or
eosinophilia
past infection
Intestinal
S. mansoni, S. Low worm burden: may Identification of eggs
japonicum,
be asymptomatic or

in the stool
S. mekongi,
have mild symptoms
(several specimens
S.
may be necessary)
Moderate–severe worm
intercalatum
burden: mucoid
bloody diarrhea,
tender hepatomegaly.
Late findings: portal
hypertension, ascites,
esophageal varices,
and hematemesis.
Urinary
S. hematobium Dysuria, urgency,
Microscopic
frequency;
examination of
microscopic or gross
urine (egg
hematuria. Late
excretion in urine
findings: bladder
typically peaks
fibrosis and bladder
between noon and
cancer
3 pm); bladder

biopsy may be
necessary
Genital tract S. hematobium Males: obstructive
Microscopic
uropathy, rare
examination of
involvement of
urine (egg
prostate, testes,
excretion in urine
epididymis, and penis.
typically peaks
between noon and
Females: ulcerating
3 pm)
polypoid or nodular
lesions of the vulva,