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Esquistosomiasis - Treatment

Nombres alternativos

Esquistosomosis; Fiebre de Katayama; Cercariosis cutánea; Esquistosoma

Tratamiento:

Esta infección generalmente se trata con el fármaco prazicuantel. Si la infección es grave o compromete el cerebro, se pueden administrar corticosteroides.

Expectativas (pronóstico):

El tratamiento antes de que se presenten daños significativos o complicaciones severas generalmente produce buenos resultados.

Complicaciones:

Cáncer de la vejiga
Insuficiencia renal crónica
Daño hepático crónico con agrandamiento del bazo
Inflamación del colon (intestino grueso) con diarrea sanguinolenta
Obstrucción del riñón y la vejiga
Hipertensión pulmonar
Se pueden presentar infecciones sanguíneas repetitivas, debido a que las bacterias pueden entrar a la sangre a través de un colon irritado
Insuficiencia cardíaca derecha
Crisis epiléptica

Situaciones que requieren asistencia médica:

Consulte con el médico si desarrolla síntomas de esquistosomiasis, en especial si ha viajado a un área tropical o subtropical donde se sabe que existe la enfermedad, o si ha estado expuesto a cuerpos de aguas contaminadas o sospechosas de estar contaminadas.

Prurito del nadador

Anticuerpos

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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