Hallazgos radiológicos en pacientes con esquistosomiasis importada |
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Authors: | Joaquín Salas-Coronas José Vázquez-Villegas Antonio Villarejo-Ordóñez José Carlos Sánchez-Sánchez José Espada-Chavarría Manuel Jesús Soriano-Pérez M Isabel Cabeza-Barrera M Teresa Cabezas-Fernández |
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Institution: | 1. Unidad de Medicina Tropical, Hospital de Poniente, El Ejido, Almería, España;2. Unidad de Medicina Tropical, Centro de Salud de la Mojonera, Distrito Poniente, Almería, España;3. Servicio de Radiodiagnóstico, Hospital de Poniente, El Ejido, Almería, España |
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Abstract: | IntroductionImaging techniques, primarily ultrasound, are useful in the diagnosis and monitoring of patients with schistosomiasis in endemic areas.MethodsStudy of 219 patients treated in sub-Saharan Tropical Medicine Unit with a diagnosis of imported schistosomiasis by imaging techniques investigations including plain abdominal radiography and ultrasound.ResultsA total of 17.8% of patients who had an abdominal X-ray showed findings suggestive of schistosomiasis, in most cases bladder calcifications. In 73 patients (41%) ultrasound showed pathological findings, mainly diffuse or focal wall thickening (26 patients), nodular lesions (n = 14), and pseudopolyps (n = 8). One patient, who had a large bladder mass (9 cm) and bilateral ureterohydronephrosis, was finally diagnosed with squamous cell carcinoma of the bladder. Ultrasound liver abnormalities were found in 10 patients, 4 with signs of portal hypertension, of which 3 had the characteristic periportal fibrosis in schistosomiasis.ConclusionImaging studies, especially abdominal and bladder ultrasound, are useful for diagnosis, the study of disease and monitoring of patients with schistosomiasis in non-endemic countries. |
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Keywords: | Esquistosomiasis Schistosoma mansoni Schistosoma haematobium Enfermedades importadas Ecografí a Inmigrantes subsaharianos |
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