New Insights on Acute and Chronic Schistosomiasis: Do We Need a Redefinition?

Katayama syndrome acute and chronic schistosomiasis lung nodule neuroschistosomiasis praziquantel pulmonary schistosomiasis

Journal

Trends in parasitology
ISSN: 1471-5007
Titre abrégé: Trends Parasitol
Pays: England
ID NLM: 100966034

Informations de publication

Date de publication:
08 2020
Historique:
received: 15 01 2020
revised: 13 05 2020
accepted: 18 05 2020
pubmed: 9 6 2020
medline: 28 11 2020
entrez: 8 6 2020
Statut: ppublish

Résumé

A precise timeframe to differentiate acute schistosomiasis (AS) and chronic schistosomiasis (CS) is not well defined. Based on recent published literature, lung nodular lesions in AS and CS seem to have the same pathophysiology, that is, eggs laid in situ by adult worms, during an ectopic migration. Moreover, the occurrence of lung nodules due to clusters of eggs and the systemic immunoallergic reaction of AS (Katayama syndrome) may be two separate clinical entities, which may overlap during the early phase of infection. Consequently, the classical distinction between AS and CS loses much of its conceptual validity. If adult worms play a more important role in the early phase of the disease the clinical management of AS should probably be revised.

Identifiants

pubmed: 32505540
pii: S1471-4922(20)30140-9
doi: 10.1016/j.pt.2020.05.009
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

660-667

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Federico Gobbi (F)

Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (Verona), Italy. Electronic address: federico.gobbi@sacrocuore.it.

Francesca Tamarozzi (F)

Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (Verona), Italy.

Dora Buonfrate (D)

Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (Verona), Italy.

Lisette van Lieshout (L)

Department of Parasitology, Leiden University Medical Centre, Leiden, The Netherlands.

Zeno Bisoffi (Z)

Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar (Verona), Italy; Università degli Studi di Verona, Verona, Italy.

Emmanuel Bottieau (E)

Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.

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Classifications MeSH