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Schistosomiasis and travel medicine.
Eur J Med Res. 2000 Sep 18; 5(9):405-10.EJ

Abstract

The rise in off-track tourism and the spread of schistosomiasis in previously non-endemic areas results in an increasing number of imported schistosomiasis cases. - Detection of eggs in stool or urine and specific serology supports the diagnosis, however eosinophilia in early infection is low. In travel groups with a single index case all members of the group with similar risk behaviour should be examined since more than 50% of group members with similar risk behaviour are likely to be infected. Asymptomatic, atypical and late presentation of the disease might delay diagnosis. Praziquantel is not effective against immature worms, therefore treatment of returning travellers with single dose praziquantel is effective when started not earlier than 2 months after infection. A combination of praziquantel plus artemether is thought to be effective also in early stages of infection. Vaccination trials in endemic areas are in progress but a single vaccine for travellers covering all schistosoma species will not be available in the near future. Advising the traveller to avoid risk behaviour like wading, bathing and swimming in endemic fresh waters and about the risk of acquiring schistosomiasis through surface or spray water during boat tours will help to reduce imported schistosomiasis.

Authors+Show Affiliations

Klinik und Poliklinik für Innere Medizin, Abt. Tropenmedizin und Infektionskrankheiten, Ernst-Heydemann-Str. 6, D-18057 Rostock, Germany. matthias.lademann@medizin.uni-rostock.deNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11003976

Citation

Lademann, M, et al. "Schistosomiasis and Travel Medicine." European Journal of Medical Research, vol. 5, no. 9, 2000, pp. 405-10.
Lademann M, Burchard GD, Reisinger EC. Schistosomiasis and travel medicine. Eur J Med Res. 2000;5(9):405-10.
Lademann, M., Burchard, G. D., & Reisinger, E. C. (2000). Schistosomiasis and travel medicine. European Journal of Medical Research, 5(9), 405-10.
Lademann M, Burchard GD, Reisinger EC. Schistosomiasis and Travel Medicine. Eur J Med Res. 2000 Sep 18;5(9):405-10. PubMed PMID: 11003976.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Schistosomiasis and travel medicine. AU - Lademann,M, AU - Burchard,G D, AU - Reisinger,E C, PY - 2000/9/27/pubmed PY - 2001/2/28/medline PY - 2000/9/27/entrez SP - 405 EP - 10 JF - European journal of medical research JO - Eur J Med Res VL - 5 IS - 9 N2 - The rise in off-track tourism and the spread of schistosomiasis in previously non-endemic areas results in an increasing number of imported schistosomiasis cases. - Detection of eggs in stool or urine and specific serology supports the diagnosis, however eosinophilia in early infection is low. In travel groups with a single index case all members of the group with similar risk behaviour should be examined since more than 50% of group members with similar risk behaviour are likely to be infected. Asymptomatic, atypical and late presentation of the disease might delay diagnosis. Praziquantel is not effective against immature worms, therefore treatment of returning travellers with single dose praziquantel is effective when started not earlier than 2 months after infection. A combination of praziquantel plus artemether is thought to be effective also in early stages of infection. Vaccination trials in endemic areas are in progress but a single vaccine for travellers covering all schistosoma species will not be available in the near future. Advising the traveller to avoid risk behaviour like wading, bathing and swimming in endemic fresh waters and about the risk of acquiring schistosomiasis through surface or spray water during boat tours will help to reduce imported schistosomiasis. SN - 0949-2321 UR - https://www.unboundmedicine.com/medline/citation/11003976/Schistosomiasis_and_travel_medicine_ L2 - http://www.diseaseinfosearch.org/result/6440 DB - PRIME DP - Unbound Medicine ER -
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