Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy

Even with all progress in the search of sensitive and methods for the immunological diagnosis of schistosomiasis, the microscopic detection of eggs of the parasite in the stool still remains the most widely used tool for the actual diagnosis of active infection. Among the coproscopic methods, Kato&#...

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Main Author: Ana Lúcia Teles Rabello
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 1992-01-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761992000800052
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author Ana Lúcia Teles Rabello
author_facet Ana Lúcia Teles Rabello
author_sort Ana Lúcia Teles Rabello
collection DOAJ
description Even with all progress in the search of sensitive and methods for the immunological diagnosis of schistosomiasis, the microscopic detection of eggs of the parasite in the stool still remains the most widely used tool for the actual diagnosis of active infection. Among the coproscopic methods, Kato's technic modified by Katz et al (Kato/Katz) has the advantages of higher sensitivity, the possibility of egg quantification, its low operational cost and its feasibility in areas with minimal infra-structure. The oorgram of the rectal mucosa is valuable in initial clinical trials of schistosomicides, when it is needed to observe egg morphology in tissue. It could be an alternative method for individual diagnosis, being more sensitive than a single stool exam in low intensity infection. However, the increased sensitivity of a higher number of fecal exams makes that invasiveprocedure unnecessary. In the assessment of cure of schistosomiasis, Kato/Katz method (three fecal samples in one, three and six months after treatment) and the rectal biopsy four months after treatment, are equally reliable.
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spelling doaj.art-2998a880e7bd411582a2959f128ec3052023-09-02T19:06:55ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80601992-01-018732533110.1590/S0074-02761992000800052Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsyAna Lúcia Teles RabelloEven with all progress in the search of sensitive and methods for the immunological diagnosis of schistosomiasis, the microscopic detection of eggs of the parasite in the stool still remains the most widely used tool for the actual diagnosis of active infection. Among the coproscopic methods, Kato's technic modified by Katz et al (Kato/Katz) has the advantages of higher sensitivity, the possibility of egg quantification, its low operational cost and its feasibility in areas with minimal infra-structure. The oorgram of the rectal mucosa is valuable in initial clinical trials of schistosomicides, when it is needed to observe egg morphology in tissue. It could be an alternative method for individual diagnosis, being more sensitive than a single stool exam in low intensity infection. However, the increased sensitivity of a higher number of fecal exams makes that invasiveprocedure unnecessary. In the assessment of cure of schistosomiasis, Kato/Katz method (three fecal samples in one, three and six months after treatment) and the rectal biopsy four months after treatment, are equally reliable.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761992000800052Schistosoma mansonifecal examinationrectal biopsy
spellingShingle Ana Lúcia Teles Rabello
Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy
Memorias do Instituto Oswaldo Cruz
Schistosoma mansoni
fecal examination
rectal biopsy
title Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy
title_full Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy
title_fullStr Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy
title_full_unstemmed Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy
title_short Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy
title_sort parasitological diagnosis of schistosomiasis mansoni fecal examination and rectal biopsy
topic Schistosoma mansoni
fecal examination
rectal biopsy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02761992000800052
work_keys_str_mv AT analuciatelesrabello parasitologicaldiagnosisofschistosomiasismansonifecalexaminationandrectalbiopsy