Hepatosplenic schistosomiasis in field-based studies: a combined clinical and sonographic definition
A combined clinical and sonographic classification of hepatosplenic schistosomiasis mansoni to be used in field-based studies is proposed herein. Seven hundred forty one individuals out of 892 (83%), living in an area endemic for schistosomiasis in Brazil, have been ubmitted to clinical and ultrasou...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Fundação Oswaldo Cruz (FIOCRUZ)
2001-09-01
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| Series: | Memorias do Instituto Oswaldo Cruz |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762001000900022 |
| _version_ | 1797712691873185792 |
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| author | José Roberto Lambertucci Gláucia Fernandes Cota Rogério Augusto Pinto-Silva José Carlos Serufo Rogério Gerspacher-Lara Sandra Costa Drummond Carlos Maurício Antunes Vandack Nobre Abdunnabi Rayes |
| author_facet | José Roberto Lambertucci Gláucia Fernandes Cota Rogério Augusto Pinto-Silva José Carlos Serufo Rogério Gerspacher-Lara Sandra Costa Drummond Carlos Maurício Antunes Vandack Nobre Abdunnabi Rayes |
| author_sort | José Roberto Lambertucci |
| collection | DOAJ |
| description | A combined clinical and sonographic classification of hepatosplenic schistosomiasis mansoni to be used in field-based studies is proposed herein. Seven hundred forty one individuals out of 892 (83%), living in an area endemic for schistosomiasis in Brazil, have been ubmitted to clinical and ultrasound examinations. Based on two stool examinations the overall prevalence for schistosomiasis in this area was 73%. Abdominal palpation was performed with patients in dorsal decubit, during deep breath, by two experienced physicians and a portable ultrasound was used for the evaluation of liver fibrosis, portal collaterals and spleen size. Four groups of individuals were identified using data obtained by abdominal palpation and ultrasound examination: (1) palpable spleen and intense periportal thickening in 9 individuals (1.2%); (2) spleen not palpable and intense periportal thickening in 15 (2%); (3) palpable spleen with light to moderate periportal thickening in 32 (4.3%), and (4) palpable spleen with a normal liver on ultrasound in 30 (4%). The definition of hepatosplenic schistosomiasis in field-based studies as the finding of Schistosoma mansoni eggs in the stools in an individual with splenomegaly is not acceptable anymore. Abdominal ultrasound should be combined with clinical examination to accurately identify hepatosplenics in endemic areas for schistosomiasis. |
| first_indexed | 2024-03-12T07:25:27Z |
| format | Article |
| id | doaj.art-aeecb93cc76b4a1ab7c1a5f6297a2b5a |
| institution | Directory Open Access Journal |
| issn | 0074-0276 1678-8060 |
| language | English |
| last_indexed | 2024-03-12T07:25:27Z |
| publishDate | 2001-09-01 |
| publisher | Fundação Oswaldo Cruz (FIOCRUZ) |
| record_format | Article |
| series | Memorias do Instituto Oswaldo Cruz |
| spelling | doaj.art-aeecb93cc76b4a1ab7c1a5f6297a2b5a2023-09-02T22:11:00ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602001-09-019614715010.1590/S0074-02762001000900022Hepatosplenic schistosomiasis in field-based studies: a combined clinical and sonographic definitionJosé Roberto LambertucciGláucia Fernandes CotaRogério Augusto Pinto-SilvaJosé Carlos SerufoRogério Gerspacher-LaraSandra Costa DrummondCarlos Maurício AntunesVandack NobreAbdunnabi RayesA combined clinical and sonographic classification of hepatosplenic schistosomiasis mansoni to be used in field-based studies is proposed herein. Seven hundred forty one individuals out of 892 (83%), living in an area endemic for schistosomiasis in Brazil, have been ubmitted to clinical and ultrasound examinations. Based on two stool examinations the overall prevalence for schistosomiasis in this area was 73%. Abdominal palpation was performed with patients in dorsal decubit, during deep breath, by two experienced physicians and a portable ultrasound was used for the evaluation of liver fibrosis, portal collaterals and spleen size. Four groups of individuals were identified using data obtained by abdominal palpation and ultrasound examination: (1) palpable spleen and intense periportal thickening in 9 individuals (1.2%); (2) spleen not palpable and intense periportal thickening in 15 (2%); (3) palpable spleen with light to moderate periportal thickening in 32 (4.3%), and (4) palpable spleen with a normal liver on ultrasound in 30 (4%). The definition of hepatosplenic schistosomiasis in field-based studies as the finding of Schistosoma mansoni eggs in the stools in an individual with splenomegaly is not acceptable anymore. Abdominal ultrasound should be combined with clinical examination to accurately identify hepatosplenics in endemic areas for schistosomiasis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762001000900022schistosomiasisultrasoundhepatosplenomegalysplenomegalymorbidity |
| spellingShingle | José Roberto Lambertucci Gláucia Fernandes Cota Rogério Augusto Pinto-Silva José Carlos Serufo Rogério Gerspacher-Lara Sandra Costa Drummond Carlos Maurício Antunes Vandack Nobre Abdunnabi Rayes Hepatosplenic schistosomiasis in field-based studies: a combined clinical and sonographic definition Memorias do Instituto Oswaldo Cruz schistosomiasis ultrasound hepatosplenomegaly splenomegaly morbidity |
| title | Hepatosplenic schistosomiasis in field-based studies: a combined clinical and sonographic definition |
| title_full | Hepatosplenic schistosomiasis in field-based studies: a combined clinical and sonographic definition |
| title_fullStr | Hepatosplenic schistosomiasis in field-based studies: a combined clinical and sonographic definition |
| title_full_unstemmed | Hepatosplenic schistosomiasis in field-based studies: a combined clinical and sonographic definition |
| title_short | Hepatosplenic schistosomiasis in field-based studies: a combined clinical and sonographic definition |
| title_sort | hepatosplenic schistosomiasis in field based studies a combined clinical and sonographic definition |
| topic | schistosomiasis ultrasound hepatosplenomegaly splenomegaly morbidity |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762001000900022 |
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