Schistosomiasis differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]

Overview

Schistosomiasis must be differentiated from threadworm infections like diphyllobothriasis, hymenolepiasis, and taeniasis.

Schistosomiasis differential diagnosis

Schistosomiasis must be differentiated from threadworm infections like diphyllobothriasis, hymenolepiasis, and taeniasis.

Infections	Common causative threadworms	Suggestive findings	Diagnostic approach	Treatment
Schistosomiasis	(Schistosoma japonicum,Schistosoma mansoni and Schistosoma haematobium)	Abdominal pain Cough Diarrhea Fever Fatigue	Stool examination for the eggs USG liver	Praziquantel
Taeniasis	Taenia solium and Taenia saginata	Nausea Vomiting Epigastric pain	Stool examination for the eggs and proglottids Brain CT scan or Biopsy (for cysticercosis)	Praziquantel
Diphyllobothriasis	Diphyllobothrium latum and Diphyllobothrium latum	Epigastric pain Diarrhea Fatigue Nausea Vomiting Numbness Tingling	Stool examination for the eggs and adults PCR	Praziquantel
Hymenolepiasis	Hymenolepis nana	Nausea Vomiting Abdominal pain Dizziness	Stool examination for the eggs and proglottids	Praziquantel