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Esquistosomiasis - Symptom

Nombres alternativos

Esquistosomosis; Fiebre de Katayama; Cercariosis cutánea; Esquistosoma

Síntomas:

Los síntomas varían de acuerdo con las especies de gusano y la fase de infección.

  • Una gran infestación (muchos parásitos) puede causar fiebre, escalofrío, inflamación de ganglios linfáticos, del hígado y del bazo.
  • La invasión inicial de la piel puede causar picazón y una erupción cutánea (cercariosis cutánea). En esta afección, el esquistosoma se destruye dentro de la piel.
  • Los síntomas intestinales pueden ser dolor abdominal y diarrea, la cual puede ser sanguinolenta.
  • Los síntomas urinarios pueden ser micción frecuente y dolorosa (disuria) y presencia de sangre en la orina (hematuria).

Signos y exámenes:

  • Examen para anticuerpos para verificar signos de infección por esquistosoma
  • Biopsia del tejido sospechoso de estar infectado
  • Hemograma completo para verificar si hay anemia
  • Conteo de eosinófilos para medir el número de ciertos glóbulos blancos
  • Examen coprológico para buscar huevos del parásito
  • Examen para detectar huevos de esquistosoma en las heces y la orina
  • Análisis de orina
  • Reviewed last on: 9/15/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Carvalho EM, Lima AAM. Schistosomiasis (Bilharziasis). In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 376.
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