Journal: | Revista da Sociedade Brasileira de Medicina Tropical |
Database: | PERIÓDICA |
System number: | 000282676 |
ISSN: | 0037-8682 |
Authors: | Magalhaes, Telcia V.B1 Gazzinelli, Giovanni2 Alvarez, Maria Carolina B Silva, F.C. Lima e Fraga, Lucia Alves Oliveira3 Silveira, Alda Maria S Gazzinelli, Andrea4 Bethony, Jeffrey5 LoVerde, Philip Caldas, Iramaya R Correa-Oliveira, Rodrigo Prata, Aluizio6 |
Institutions: | 1Santa Casa Hospital de Belo Horizonte, Belo Horizonte, Minas Gerais. Brasil 2Fundacao Instituto Oswaldo Cruz, Centro de Pesquisas Rene Rachou, Belo Horizonte, Minas Gerais. Brasil 3Universidade Vale do Rio Doce, Itajai, Santa Catarina. Brasil 4Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, Minas Gerais. Brasil 5The George Washington University, Medical Center, Washington, Distrito de Columbia. Estados Unidos de América 6Faculdade de Medicina do Triangulo Mineiro, Uberaba, Minas Gerais. Brasil |
Year: | 2005 |
Season: | Ene-Feb |
Volumen: | 38 |
Number: | 1 |
Pages: | 33-37 |
Country: | Brasil |
Language: | Inglés |
Document type: | Artículo |
Approach: | Analítico |
English abstract | Two hundred and twenty three subjects from a Schistosoma mansoni low morbidity endemic area and nine hospitalized hepatosplenic patients were submitted to stool test and clinical examination and abdomen ultrasound assessments. According to stool examination and ultrasound results, they were grouped as follows: G1 - 63 Schistosoma mansoni egg-negative individuals; G2 - 141 egg-positive patients and without evidence of periportal fibrosis; G3 - 19 egg-positive patients with periportal echogenicity (3-6mm); and G4 - 9 hepatosplenic patients with periportal echogenicity (> 6mm). Hepatomegaly detected by physical examination of the abdomen evaluated in the midclavicular line was verified in G1, G2 and G3, respectively, in 11.1, 12.1 and 26.3%. In G1, G2 and G3, periportal thickening occurred only in schistosomal patients (8.5%). Mild pathological alterations in patients that cannot yet be detected by clinical examination were detectable in the liver by ultrasound and can be due to fibrosis. The degree of mild periportal fibrosis was diminished in 57.9% of patients 12 months after treatment of schistosomiasis with oxamniquine. At ultrasonography, the mean liver left lobe measurement of G3 was larger than that of G1, and that of G4 larger than that of G1 and G2. The mean size of the spleen of G4 was significantly larger than that of the other three groups, and that of G3 larger than that of G1 and G2 |
Disciplines: | Biología, Medicina |
Keyword: | Parasitología, Salud pública, Esquistosomiasis, Ultra-sonografia, Fibrosis, Schistosoma mansoni |
Keyword: | Biology, Medicine, Parasitology, Public health, Ultrasonography, Fibrosis, Schistosomiasis, Schistosoma mansoni |
Full text: | Texto completo (Ver HTML) |