Disease Information for Schistosomiasis Japonica

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Clinical Manifestations
Signs & Symptoms
P2 sound accentuated
Pruritic/itching rash
Rash, chronic/Dermatitis
Abdominal Pain
Abdominal Pain Crampy
Anorexia Decreased appetite
Diarrhea
Recurrent ascites
Lymphadenopathy Systemic
Hepatosplenomegaly
Tender liver/liver pain
Muscle Pain
Myalgias
Urethral bleeding
Splenomegaly
Weight Loss
Clinical Presentation & Variations
Presentation/Fever recent Travel Long visit return
Presentation/Esophageal varices Normal LFT labs Liver spared
Disease Progression
Course/Acute
Course/Chronic disorder
Demographics & Risk Factors
Exposure Factors
Exposure/pond water/river water/fresh water
Travel, Geographic & Climate Related Factors
Residence/travel/Egypt
Residence/travel/Japan
Residence/travel/Low lands/Wet lands/River valley areas
Ethnic or Racial Factors
Chinese population
Egyptian population
Event, Activity, Behavioral & Seasonal Factors
Activity/Swimming
Laboratory Tests
Microbiology & Serology Findings
Microlab/Schistosomiasis ELISA antibodies
Microlab/Schistosomiasis IHA antibodies
Serum specific antibodies increased
Microlab/Serol/Specific titers present
Microlab/Stool ova/parasites/abnormal
Abnormal Lab Findings - Increased
ALT (SGPT) (Alanine transferase) (Lab)
Aspartamine aminotransferase (SGOT, AST) (Lab)
AST (SGOT) (aspartamine transferase) (Lab)
Bilirubin, serum (Lab)
IGE/Immunoglobulin E (Lab)
URINE Eosinophiles
STOOL Erythrocytes/RBCs
Diagnostic Test Results
Other Tests & Procedures
Gastroscopy/Esophageal varices
Pathology
BX/Intestinal biopsy/Granuloma
BX/Intestinal biopsy/Jejunal/Abnormal
BX/Rectal biopsy/ova present
BX/Lymph node biopsy/Granulomatous changes
BX/Liver biopsy/Periportal fibrosis
BX/Liver biopsy/Periportal fibrosis, severe
PATH/Granulomas in spleen
PATH/Granulomatous tissue/specimen
EKG (ECG)
EKG/R pattern V1-V3
X-RAY
Xray/Pulmonary artery vascularity increased/Chest
Xray/Abdominal calcifications/ABD
Xray/Interstitial infiltrate, acute/Chest
Xray/Interstitial infiltrate/fibrosis/Chest
Xray/Right Diaphragm Elevated/Chest
X-RAY With contrast
BE/Mucosal pattern irregular/swollen
SBS/Mucosal pattern irregular/swollen
UGI/Esophageal varices
Ultrasound
Echo/Pulmonary artery hypertension
Associated Diseases & Rule outs
Associated Disease & Complications
Cirrhosis
Cirrhosis in childhood
Cor pulmonale
Encephalopathy/CNS effect
Esophageal varices
Gastric varices
Neuroschistosomiasis
Perforated viscus
Perforation/colon
Peritoneal Effusion
Peritoneum, adhesions
Portal hypertension
Portal vein thrombosis
Pulmonary hypertension
Pulmonary hypertension, secondary
Schistosomiasis, hepatic
Schistosomiasis/acute infection
Splenic vein thrombosis
Upper GI bleeding
Disease Mechanism & Classification
Specific Agent
AGENT/Contact/cutaneous/portal of entry pathophysiology
AGENT/Endemic disease (ex)
AGENT/Parasites (category)
AGENT/Snail vector
AGENT/Trematode parasite (example)
Pathophysiology
Pathophysiology/Skin invasion/migration lungs/gut/agent
Pathophysiology/Larval skin penetration site
Pathophysiology/Bleeding from Portal Veins
Pathophysiology/Presinusoidal portal hypertension
Pathophysiology/Granulomatous CNS/brain/cord
Process
PROCESS/INCIDENCE/Regional specific
PROCESS/Infection/agent specific (category)
PROCESS/Inflammatory/Granulomatous disease (ex)
PROCESS/Granulomatous Disease
Synonyms
Synonym
Asian schistosomiasis, Asiatic schistosomiasis, eastern schistosomiasis, fever Katayama, infestation Schistosoma japonicum, Katamaya fever, Katamaya syndrome, Katayama, Katayama disease, Katayama disease or fever, Katayama fever, Katayama fever (disorder), Katayama syndrome, oriental schistosomiasis, Schistosoma infestation japonicum, Schistosoma japonicum, Schistosoma japonicum (Katayama disease), Schistosoma Japonicum Infection, Schistosoma japonicum infection (disorder), schistosomiasis Asiatic, Schistosomiasis due to schistosoma japonicum, SCHISTOSOMIASIS EASTERN, Schistosomiasis japonica, Schistosomiasis japonicum, schistosomiasis oriental, schistosomiasis Schistosoma japonicum, YANGTZE DISEASE, YANGTZE RIVER DISEASE, Synonym/Eastern schistosomiasis, Synonym/Katayama disease/Acute schistosomiasis, Synonym/Katayama's fever, Synonym/Snail fever, Synonym/Yangtze River disease
Treatment
Drug Therapy - Indication
RX/Praziquantel (Biltricide)
Surgical Procedures or Treatments
SX/Biopsy
Definition

Schistosomiasis caused by Schistosoma japonicum. It is endemic in the Far East and affects the bowel, liver, and spleen,

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External Links Related to Schistosomiasis Japonica
Google
Wikipedia
Merck
Images
PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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