Schistosomiasis: Current epidemiology and management in travelers

Eyal Meltzer, Eli Schwartz

Research output: Contribution to journalArticlepeer-review

Abstract

Schistosomiasis is increasingly encountered among travelers returning from the tropics, mainly from Africa. Schistosoma-infected travelers have served as sentinels for the existence of unknown foci of transmission even outside Africa. Acute schistosomiasis (also termed Katayama syndrome) is the common manifestation among travelers and may follow exposure to any of the Schistosoma species. Neuroschistosomiasis is a rare complication but may result in severe disability. Diagnosis in travelers is hampered by the poor sensitivity of microscopy in urine and stool, especially during acute infections, while seroconversion may be delayed for a period of weeks. During acute schistosomiasis, symptomatic treatment is the only available therapy, while for chronic schistosomiasis, praziquantel is the only drug available, despite reports of emerging resistance to it. Since the potential for exposure to Schistosoma through travel will probably continue to increase, it is clear that new, sensitive diagnostic methods and drugs affecting the parasite in all its stages are needed.

Original languageEnglish
Pages (from-to)211-215
Number of pages5
JournalCurrent Infectious Disease Reports
Volume15
Issue number3
DOIs
StatePublished - Jun 2013

Keywords

  • Neuroschistosomiasis
  • Praziquantel
  • Schistosomiasis/ therapy
  • Schistosomiasis/diagnosis
  • Schistosomiasis/epidemiology
  • Travel

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