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Erschienen in: Rheumatology International 5/2013

01.05.2013 | Case Report

Schistosoma mansoni infection: an immune complex disease presenting with polyarthritis

verfasst von: Aline Tamires Lapa, Simone Appenzeller, Manoel B. Bértolo

Erschienen in: Rheumatology International | Ausgabe 5/2013

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Abstract

Schistosomiasis or bilharzia is a parasitic disease found in tropical countries. Most infections are subclinical but may progress to chronic form characterized most frequently by the presence of liver involvement and portal hypertension. We report a patient that presented chronic polyarthritis with positive rheumatoid factor. During investigation, increased liver enzymes, negative hepatitis serologies and signs of portal hypertension on an ultrasound examination raised suspicion of S. mansoni infection. We will discuss pathophysiology and clinical manifestations of S. mansoni infection with special attention to articular involvement.
Literatur
1.
Zurück zum Zitat Da Silva LC, Chieffi PP, Carrilho FJ (2005) Schistosomiasis mansoni—clinical features. Gastroenterol Hepatol 28:30–39PubMedCrossRef Da Silva LC, Chieffi PP, Carrilho FJ (2005) Schistosomiasis mansoni—clinical features. Gastroenterol Hepatol 28:30–39PubMedCrossRef
2.
4.
Zurück zum Zitat Elliott DE (1996) Schistosomiasis. Pathophysiology, diagnosis, and treatment. Gastroenterol Clin North Am 25:599–625PubMedCrossRef Elliott DE (1996) Schistosomiasis. Pathophysiology, diagnosis, and treatment. Gastroenterol Clin North Am 25:599–625PubMedCrossRef
5.
6.
Zurück zum Zitat Newman L (2001) Worm infections fester as experts vie for fair share of funding. Lancet Infect Dis 1:140CrossRef Newman L (2001) Worm infections fester as experts vie for fair share of funding. Lancet Infect Dis 1:140CrossRef
7.
Zurück zum Zitat Atkin SL, Kamel M, el-Hady AM, el-Badawy SA, el-Ghobary A, Dick WC (1986) Schistosomiasis and inflammatory polyarthritis: a clinical, radiological and laboratory study of 96 patients infected by S. mansoni with particular reference to the diarthrodial joint. Q J Med 59(229):479–487PubMed Atkin SL, Kamel M, el-Hady AM, el-Badawy SA, el-Ghobary A, Dick WC (1986) Schistosomiasis and inflammatory polyarthritis: a clinical, radiological and laboratory study of 96 patients infected by S. mansoni with particular reference to the diarthrodial joint. Q J Med 59(229):479–487PubMed
8.
Zurück zum Zitat Greenfield DI, Hughes WS, Phillips TM, Barth WF (1986) Immune complex arthritis in a patient with Schistosoma mansoni infection. Arthritis Rheum 29:296–299PubMedCrossRef Greenfield DI, Hughes WS, Phillips TM, Barth WF (1986) Immune complex arthritis in a patient with Schistosoma mansoni infection. Arthritis Rheum 29:296–299PubMedCrossRef
9.
Zurück zum Zitat Ismail HI, Sallam FA, Sheer HA (2000) The pathogenesis of arthropathy in experimental Schistosomiasis mansoni. J Egypt Soc Parasitol 30:943–949PubMed Ismail HI, Sallam FA, Sheer HA (2000) The pathogenesis of arthropathy in experimental Schistosomiasis mansoni. J Egypt Soc Parasitol 30:943–949PubMed
10.
Zurück zum Zitat Attalla AM, Lewis FA, Urritia-Shaw A, Folks T, Yeatman TJ (1980) Natural killer cells (N.K.) and antibody dependent cell-mediated cytotoxicity (A.D.C.C.) components of Schistosoma mansoni infection. Int Arch Allergy Appl Immunol 63:351–354CrossRef Attalla AM, Lewis FA, Urritia-Shaw A, Folks T, Yeatman TJ (1980) Natural killer cells (N.K.) and antibody dependent cell-mediated cytotoxicity (A.D.C.C.) components of Schistosoma mansoni infection. Int Arch Allergy Appl Immunol 63:351–354CrossRef
11.
Zurück zum Zitat Rabello AL (1992) Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy. Mem Inst Oswaldo Cruz 87:325–331PubMedCrossRef Rabello AL (1992) Parasitological diagnosis of schistosomiasis mansoni: fecal examination and rectal biopsy. Mem Inst Oswaldo Cruz 87:325–331PubMedCrossRef
12.
Zurück zum Zitat Da Silva LC, Zeitune JMR, Rosa-Eid LM et al (1986) Treatment of patients with schistosomiasis mansoni: a double blind clinical trial comparing praziquantel with oxamniquine. Rev Inst Med Trop Sao Paulo 28:174–180PubMedCrossRef Da Silva LC, Zeitune JMR, Rosa-Eid LM et al (1986) Treatment of patients with schistosomiasis mansoni: a double blind clinical trial comparing praziquantel with oxamniquine. Rev Inst Med Trop Sao Paulo 28:174–180PubMedCrossRef
Metadaten
Titel
Schistosoma mansoni infection: an immune complex disease presenting with polyarthritis
verfasst von
Aline Tamires Lapa
Simone Appenzeller
Manoel B. Bértolo
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
Rheumatology International / Ausgabe 5/2013
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-010-1562-7

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