Presentation
We now report two cases of cutaneous schistosomiasis presenting in Edinburgh with subtle, but remarkably similar, skin lesions. [ncbi.nlm.nih.gov]
[…] among others has shown papular presentation to be the predominant pattern, and similar to our index case, tends to appear in crops. [anmjournal.com]
Schistosoma mansoni, 13-year-old boy, extragenital cutaneous infection presenting as hypopigmented plaque on face, histological diagnosis revealed palisading granuloma surrounding parasite ova: Nigeria Schistosoma mansoni Pathology, Trematoda granuloma [agris.fao.org]
Entire Body System
- Fever
Severe Katayama fever may require treatment with systemic corticosteroids to manage the acute hypersensitivity reaction. Praziquantel is less effective for Katayama fever and can worsen symptoms due to antigen release. [dermnetnz.org]
A fever is ubiquitous (safari fever, Katayama fever ) and an infected person may also experience prostration, headache, myalgia and night sweats. A variable set of skin symptoms may also be present, including rash, urticaria and facial oedema. [therapeutique-dermatologique.org]
After a symptom-free period of 3–4 weeks, systemic allergic features may develop, including fever, rash, myalgia and pneumonitis (Katayama fever). [explainmedicine.com]
Symptoms may include severe headache (most common symptom), stiff neck, low grade fever, nausea and vomiting, abdominal pain, paresthesias of trunk and extremities, and other neurologic signs, including unilateral facial nerve paralysis. [ufrgs.br]
Fever Fatigue Hepatosplenomegaly—the enlargement of both the liver and the spleen. [newworldencyclopedia.org]
- Inflammation
[…] skin of thorax or abdomen (3) anogenital region Appearance: (1) papules, which may be in groups and which are often pruritic (2) plaques or nodules (3) soft, warty vegetations (4) polypoid growths (5) ulcerations Histologic features: (1) granulomatous inflammation [meducator3.net]
All specimens showed granulomatous inflammation with eosinophils, aggregates of terminal-spined S. hematobium ova and variable fibrosis. Copulating worms were identified in three biopsies. [ncbi.nlm.nih.gov]
In the white and gray matter of the spinal cord and in the white matter of the brain, a cellular infiltration of spongy tissue surrounded the immature parasites; and we observed dystrophic and necrotic changes of neurons, perivascular eosinophilic inflammation [doi.org]
- Fishing
Cercarial dermatitis has repeatedly been seen in swimmers but not in aquarists keeping fish in… CONTINUE READING [semanticscholar.org]
Rare presentations have been reported on the upper extremities after cleaning fish tanks. There are no age or sex predilections. [visualdx.com]
Cercarial dermatitis has repeatedly been seen in swimmers but not in aquarists keeping fish in a home aquarium. References Haeusser M, Ippen H: Dermatosen in Schwimmbädern. Hautarzt 1981;36:436–440. [karger.com]
Calif E, Pick N, Dreyfuss U, et al. : Upper extremity infections following common carp fish (Cyprinus carpio) handling. J Hand Surg Br 2002, 278 :78–82. CrossRef Google Scholar 27. [link.springer.com]
Jabalpur has an annual rainfall of 140160 cm, with a maximum daytime temperature of 42.5 ºC; the lower income group of its one million population depends on the ponds and temporary water sources for domestic water supplies, cultivation of water chestnuts, fishing [scielosp.org]
- Asymptomatic
It is characterized by isolated or coalescent papules, erythematous, pruritic or asymptomatic, with zosteriform distribution, often located on the trunk. [ncbi.nlm.nih.gov]
[…] the parasite. [5] Other helpful features include a pruritic rash (swimmers itch) which may follow cercarial penetration through the skin in the acute stage. [10] This phase of invasion may manifest with transient mild fever and cough but may also be asymptomatic [anmjournal.com]
- Disability
Please enable JS and disable any ad blocker [diagnosticimaging.com]
These disorders frequently also cause seizures, brain malformations, eye lesions, and intellectual disability. [epilepsy.com]
The lesions are chronic and can be disabling. [visualdx.com]
Gastrointestinal
- Nausea
[…] pediatric) / poison ivy, oak Folliculitis Insect bites Urticaria Acute schistosomiasis – Heavy exposure to human schistosomes may result in acute schistosomiasis, which may be associated with urticarial rash, pruritus, limb edema, lymphadenopathy, fever, nausea [visualdx.com]
Symptoms may include severe headache (most common symptom), stiff neck, low grade fever, nausea and vomiting, abdominal pain, paresthesias of trunk and extremities, and other neurologic signs, including unilateral facial nerve paralysis. [ufrgs.br]
Edema, lymphangitis and regional adenopathy develop in some individuals, as may eosinophilia and systemic symptoms of generalized urticaria, nausea and vomiting. [minnesota.mdnews.com]
Edema, lymphangitis, and regional adenopathy develop in some individuals, as may eosinophilia and systemic symptoms of generalized urticaria, nausea, and vomiting. [crutchfielddermatology.com]
It is well tolerated, with approximately 20% of treated patients experiencing adverse effects including abdominal pain, nausea, headaches, vertigo and somnolence. [therapeutique-dermatologique.org]
- Diarrhea
[…] poison ivy, oak Folliculitis Insect bites Urticaria Acute schistosomiasis – Heavy exposure to human schistosomes may result in acute schistosomiasis, which may be associated with urticarial rash, pruritus, limb edema, lymphadenopathy, fever, nausea, and diarrhea [visualdx.com]
Symptoms Initial symptoms usually appear within days or weeks after being infected and include a skin rash, fever, headache, muscle ache, bloody diarrhea, cough, malaise, and abdominal pain. [iamat.org]
Manifestations include: Abdominal pain Cough Diarrhea Eosinophilia—extremely high eosinophil granulocyte count. Fever Fatigue Hepatosplenomegaly—the enlargement of both the liver and the spleen. [newworldencyclopedia.org]
They may lose weight, have diarrhea, and be generally tired. The liver, spleen, and sometimes lymph nodes enlarge. The number of blood cells decreases, causing anemia and making people more susceptible to other infections. [merckmanuals.com]
General manifestations of bilharziasis Fever, purpura, malaise, arthralgia, abdominal cramps, and diarrhea. Hepatosplenomegaly. The symptoms resolve in about 4-6 weeks. C. [drmhijazy.com]
- Vomiting
Symptoms may include severe headache (most common symptom), stiff neck, low grade fever, nausea and vomiting, abdominal pain, paresthesias of trunk and extremities, and other neurologic signs, including unilateral facial nerve paralysis. [ufrgs.br]
Edema, lymphangitis and regional adenopathy develop in some individuals, as may eosinophilia and systemic symptoms of generalized urticaria, nausea and vomiting. [minnesota.mdnews.com]
Edema, lymphangitis, and regional adenopathy develop in some individuals, as may eosinophilia and systemic symptoms of generalized urticaria, nausea, and vomiting. [crutchfielddermatology.com]
Drugs that contain antimony may cause nausea, vomiting, fatigue, and heart problems (which require stopping the drug). [merckmanuals.com]
Skin
- Dermatitis
dermatitis, Sea bather's eruption, Swimmer's itch, Schistosome dermatitis, Clam digger's itch, Cutaneous schistosomiasis, Infection by cercariae of schistosoma, Swamp itch, Clam-digger's itch, Schistosomal cercarial dermatitis, Swimmers' itch, Cutaneous [fpnotebook.com]
Convert to ICD-10-CM : 120.3 converts directly to: 2015/16 ICD-10-CM B65.3 Cercarial dermatitis Applies To Cercarial dermatitis Infection by cercariae of Schistosoma Schistosome dermatitis Swimmers' itch ICD-9-CM Volume 2 Index entries containing back-references [icd9data.com]
Avian Schistosomes and Outbreaks of Cercarial Dermatitis. Clinical Microbiology Reviews, Vol. 28, Issue. 1, p. 165. CrossRef Google Scholar 2014. Human Diseases from Wildlife. p. 473. [doi.org]
- Papule
The authors report a case of ectopic cutaneous schistosomiasis in a 35 year-old female who presented clustered reddish macules and papules on the left buttock. [ncbi.nlm.nih.gov]
Rubbery papules and abnormal blood vessels. Rubbery papules and mucosal bleeding on the cervical surface and anterior fornix. Papules look like pustules but are firm like rubber, the diameters range between 0.3 to 1.2 millimetres. [journals.plos.org]
Pruritic Papule s within hours Symptoms peak within 2-3 days Resolution within 7 days IV. [fpnotebook.com]
These papules appeared about 90 min after he had cleaned his aquarium in which he kept native fish and watersnails. He had obtained the watersnails some weeks before from a nearby pond. Examination of water from the aquarium revealed cercariae. [semanticscholar.org]
- Pruritus
Symptoms and symptoms Areas affected limited to exposed areas Initial Pruritus from Acute Urticaria l reaction Pruritus within 1 hour (minimal to intense) Later papular eruption occurs First Exposure Papule s within 5 to 13 days Subsequent Exposure (Sensitized [fpnotebook.com]
Patients may develop edema, papulovesicles, and intense pruritus. Rare presentations have been reported on the upper extremities after cleaning fish tanks. There are no age or sex predilections. [visualdx.com]
Cutaneous schistosomiasis usually presents as crops of papular rashes with normal skin color on the trunk with or without pruritus and coexisting hematuria. [anmjournal.com]
Bilharziasis (see also Schistosomiasis) 120.9 cutaneous 120.3 Clam diggers' itch 120.3 Dermatitis (allergic) (contact) (occupational) (venenata) 692.9 cercarial 120.3 schistosome 120.3 Infestation 134.9 Schistosoma 120.9 cercariae 120.3 Itch (see also Pruritus [healthprovidersdata.com]
- Urticaria
[…] schis·to·so·mi·a·sis ja·pon·i·ca, Japanese schistosomiasis infection with Schistosoma japonicum, characterized by dysenteric symptoms, painful enlargement of the liver and spleen, dropsy, urticaria, and progressive anemia. schis·to·so·mi·a·sis ja·pon· [medical-dictionary.thefreedictionary.com]
Other ocean-dwelling organisms (hydromedusae, crab larvae) Varicella Scabies / scabies (pediatric) Allergic contact dermatitis / contact dermatitis (pediatric) / poison ivy, oak Folliculitis Insect bites Urticaria Acute schistosomiasis – Heavy exposure [visualdx.com]
Symptoms and symptoms Areas affected limited to exposed areas Initial Pruritus from Acute Urticaria l reaction Pruritus within 1 hour (minimal to intense) Later papular eruption occurs First Exposure Papule s within 5 to 13 days Subsequent Exposure (Sensitized [fpnotebook.com]
Edema, lymphangitis and regional adenopathy develop in some individuals, as may eosinophilia and systemic symptoms of generalized urticaria, nausea and vomiting. [minnesota.mdnews.com]
- Blister
The pimples may develop into small blisters. Itching may last up to a week or more but will gradually go away. Cercarial dermatitis (swimmer's itch) is not contagious. [medicinenet.com]
Seabather's eruption Seaweed dermatitis is more severe and leads to blistering and desquamation; it is also endemic to Hawaii, where seabather's eruption has not been reported. [visualdx.com]
Some rashes can also lead to blisters or patches of raw skin. Rashes are a symptom of many different medical problems. Other causes include irritating substances and allergies. Certain genes can make people more likely to get rashes. [icdlist.com]
Symptoms of cercarial dermatitis The skin symptoms include: Burning Itching Red bumps that may look like pimples, hives, or blisters Treatment for cercarial dermatitis The rash will go away in a few weeks to a month. [saintlukeskc.org]
The rash is itchy, maculopapular (small red bumps), and may become vesicular (small fluid-filled blisters). Nonhuman schistosomes are unable to complete their lifecycle so this infection resolves spontaneously with no long-term complications. [dermnetnz.org]
Neurologic
- Irritability
Many rashes are itchy, red, painful, and irritated. Some rashes can also lead to blisters or patches of raw skin. Rashes are a symptom of many different medical problems. Other causes include irritating substances and allergies. [icdlist.com]
There are two forms of contact dermatitis: irritant and allergic. Irritant contact dermatitis is caused by the non–immune-modulated irritation of the skin by a substance, leading to skin changes. [explainmedicine.com]
Exposure to larvae of crustaceans or remnants of jellyfish tentacles Irritant contact dermatitis Best Tests Subscription Required Management Pearls Subscription Required Therapy Subscription Required References Subscription Required Last Reviewed: 12/ [visualdx.com]
Nocturnal pruritus: anal, vaginal and perineal itching at night which may be severe causing sleep disturbances and irritability. Perineal intertrigo, secondarily infection and nocturia due to severe itching vulvar irritation and mucoid discharge. [drmhijazy.com]
Irritant contact dermatitis. In: Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed July 28, 2016. Goldsmith LA, et al., eds. Allergic contact dermatitis. [mayoclinic.org]
Workup
Microbiology
- Pseudomonas
: Diving suit dermatitis: a manifestation of Pseudomonas folliculitis. Cutis 1997, 59 :245–246. PubMed Google Scholar 18. Fiorillo L, Zucker M, Sawyer D, et al. : The Pseudomonas hotfoot syndrome. N Engl J Med 2001, 345 :335–338. [link.springer.com]
Codes ICD10CM: B65.3 – Cercarial dermatitis SNOMEDCT: 187115002 – Cutaneous schistosomiasis Look For Subscription Required Diagnostic Pearls Subscription Required Differential Diagnosis & Pitfalls Pseudomonas folliculitis (hot tub folliculitis) also occurs [visualdx.com]
"Hot Tub Rash" and "Swimmer's Ear" (Pseudomonas) (Centers for Disease Control and Prevention) Contact dermatitis (Medical Encyclopedia) Diaper rash (Medical Encyclopedia) Hot tub folliculitis (Medical Encyclopedia) Pityriasis rosea (Medical Encyclopedia [icdlist.com]
Treatment
Magnetic hyperthermia is a new clinical therapy approved for treatment of tumor cells. Hyperthermia treatment can shrink tumors via the selective killing of cancer cells by damaging proteins and cellular structures. [medicalxpress.com]
After treatment, the pruritic-type lesions observed during the status stage regress over a few months. [therapeutique-dermatologique.org]
What is the treatment for schistosomiasis? All individuals with schistosomiasis should receive treatment even if they are symptom -free. [dermnetnz.org]
This article reviews the epidemiology, pathology, cutaneous manifestations, and treatment of these diseases. [ncbi.nlm.nih.gov]
[…] to protect some of the world’s poorest children against schistosomiasis – an illness caused by parasitic worms – and soil-transmitted helminths. £15 million of the funding will be spent directly on procuring drug treatments, through Crown Agents. [lstmed.ac.uk]
Prognosis
Prognosis of schistosomiasis mansoni patients infected with hepatitis B virus. Memorias do Instituto Oswaldo Cruz. 1998;93 Suppl 1:255-8. Ghaffar YA, Fattah SA, Kamel M, Badr RM, Mahomed FF, Strickland GT. [sapd.es]
The prognosis is serious in neglected case particularly in infants. Clinical Manifestations: Amoebic dysentery - this is due to invasion of the trophozoites to the mucosa of the large intestine. [drmhijazy.com]
Hypertension induced chronic renal failure: clinical features, management and prognosis. West Afr J Med 1998; 17 :104-108. 13. 1Attia EA, Hassan SI, Youssef NM. [ejdv.eg.net]
Etiology
The importance of the recognition of these cutaneous lesions may rest on the opportunity to provide an etiological diagnosis in these difficult cases. [ncbi.nlm.nih.gov]
McKee's Pathology of the Skin is the most complete, in-depth resource on dermatopathology, covering etiology, pathogenesis, disease mechanisms, and recent genetic, molecular, and basic science data. Drs. J. [books.google.com]
Table 3: Skin and oral mucosal manifestations and their relations to the etiology of chronic renal failure Click here to view Table 4: Nail and hair manifestations and their relations to the etiology of chronic renal failure Click here to view Discussion [ejdv.eg.net]
Swimmer's itch: etiology, impact, and risk factors in Europe. Trends in Parasitology, Vol. 29, Issue. 2, p. 65. CrossRef Google Scholar Lucie, Lichtenbergová and Petr, Horák 2012. Pathogenicity ofTrichobilharziaspp. for Vertebrates. [doi.org]
[…] health practitioners appear unconcerned and the connection is not made between the unhygienic practice of wading in ponds and the concentration of snails or cercariae in the water, perhaps because there is no common laboratory test to confirm the etiology [scielosp.org]
Epidemiology
This article reviews the epidemiology, pathology, cutaneous manifestations, and treatment of these diseases. [ncbi.nlm.nih.gov]
This epidemiologic study reports incidence, severity, and risk factors of swimmer's itch (cercarial dermatitis). [doi.org]
Epidemiological study on group infection of Angiostrongylus cantonensis in Changle City. [ufrgs.br]
Pathophysiology
Pathophysiology Predominately fresh water exposure Distribution Northern United States Canada Episodic outbreaks related to snail maturation Bright, warm days of summer induce snail shedding Most outbreaks occur near shore Inflammatory reaction to parasitic [fpnotebook.com]
The pathophysiologic mechanism is not completely clarified. The symptoms of urinary S. haematobium is related to injuries caused by migration or embolization of eggs and granuloma formation indicating a defensive response of the host [11] [12] [13]. [ijcasereportsandimages.com]
We should emphasize that reporting these cases is essential in order to gain greater comprehension of the pathophysiology of this ectopic form of the disease. # # Conflicts of Interest The authors have no conflicts of interest to declare. [thieme-connect.com]
The pathophysiology of this phenomenon is related to the proximal half of the nail appearing white because of edema associated with a dilated capillary network and the other half of the nail bed appearing normal [28]. [ejdv.eg.net]
Prevention
Although it failed to exceed the group of PZQ, the results suggest that hyperthermia could be an effective prevention method. More information : YANG Huixia, et al. [medicalxpress.com]
This preventable disease affects approximately 243 million people worldwide. [iamat.org]
In this study session, you will learn the causes, modes of transmission, clinical manifestations, prevention and control of four other vector-borne diseases of public health importance in Ethiopia. [open.edu]
The main focus of prevention is, thus, eliminating the water-borne snails that are natural reservoirs for the disease. [newworldencyclopedia.org]
Learn more from the Centers of Disease Control and Prevention . [health.ny.gov]