Schistosoma

Disease: Schistosoma causes schistosomiasis.

 Schistosoma mansoni: cause intestinal

schistosomiasis
 Schistosoma haematobium: causes urinary
schistosomiasis
 Schistosoma japonicum: cause Asian intestinal
schistosomiasis
:Important Properties
The adult:
 Shape: are long and slim worms.
 male: measures 1.5 cm, and has the capability to almost completely
surround the female during copulation.
 female: has a cylindrical body, longer and thinner than the male's
measures 2 cm.

Prepared by Dr. fadhl alshaebi

S. Japonicum S.haematobium S. mansoni egg
 Transmission
 Humans are infected when the free-swimming, fork-tailed
cercariae penetrate the skin .

Prepared by Dr. fadhl alshaebi

life cycle:

Prepared by Dr. fadhl alshaebi

 :pathogenesis
 S. mansoni eggs damage the wall of the distal colon (inferior
mesenteric venules), whereas S. japonicum eggs damage the walls of
both the small and large intestines (superior and inferior mesenteric
venules).
 The eggs of S. haematobium in the wall of the bladder induce
granulomas and fibrosis, which can lead to carcinoma of the bladder.
 Clinical Findings
 Most patients are asymptomatic, but chronic infections
may become symptomatic.
 The acute stage, which begins shortly after cercarial
penetration, consists of itching and dermatitis followed
2–3 weeks later by fever, chills, diarrhea,
lymphadenopathy, and hepatosplenomegaly.

 Swimmer's itch," which consists of pruritic papules,

 Diagnosis
History and clinical presentation: Personal history( age, sex,
occupation and residence) Clinical history (Symptoms such as
hematuria, dysentery and Signs as anemia, hepatomegaly,
.spleenomegaly)
:Parasitological diagnosis
Stool or Urine analysis: for detection of diagnostic stage
.( characteristic Egg)
.Serological diagnosis: ELIZA