Helleberg Marie, Thybo Søren
Epidemiklinikken M5132, Rigshospitalet, DK-2100 København Ø, Denmark.
Ugeskr Laeger. 2009 Dec 7;171(50):3694-7.
The purpose of the study was to describe symptoms and diagnosis of schistosomiasis in travellers and immigrants based on patients diagnosed and treated at the State University Hospital in Copenhagen in 2003-2008.
Retrospective review of patient records.
A total of 49 patients (39 travellers and ten immigrants) were diagnosed with schistosomiasis. All patients except one were infected in Africa. There was considerable variation in clinical manifestations between travellers and immigrants. Eggs were detected in urine, faeces and/or biopsy from 18 patients, whereas 31 patients were diagnosed solely by serology.
Travellers with schistosomiasis are often asymptomatic or have unspecific symptoms, while immigrants may present with severe complications to the infection. Because symptoms can develop years after the infection and due to the risk of severe complications, even asymptomatic patients should be treated. Treatment is simple and has few side effects.
本研究的目的是根据2003年至2008年在哥本哈根国立大学医院诊断和治疗的患者,描述旅行者和移民中血吸虫病的症状及诊断情况。
对患者记录进行回顾性分析。
共有49例患者(39名旅行者和10名移民)被诊断为血吸虫病。除1例患者外,所有患者均在非洲感染。旅行者和移民的临床表现差异很大。18例患者的尿液、粪便和/或活检中检测到虫卵,而31例患者仅通过血清学诊断。
感染血吸虫病的旅行者通常无症状或有非特异性症状,而移民可能出现严重的感染并发症。由于症状可能在感染数年之后出现,且存在严重并发症的风险,因此即使无症状患者也应接受治疗。治疗简单且副作用少。