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 453 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

While inventoring the local malacological fauna and evaluating the density of species acting as intermediate hosts of human schistosomes it has been shown that Bulinus truncatus is predominant in the study area. Bulinus globosus is scarcely encountered. Biomphalaria pfeifferi is only found in the Mayo Guerleo, in irrigation canals and draining ditches. But B. globosus and B. pfeifferi have not yet invaded the recent aquatic network and are not found in the lake nor in the newly created irrigation systems. Snails shedding cercariae of S. haematobium and S. mansoni have been collected in the area. Bulinus forskalii is found in all types of permanent of temporary waterbodies but S. intercalatum has not yet been reported from North-Cameroon. Lymnaea natalensis, the intermediate host of Fasciola gigantica, is found in the lake and in the canals, in the Mayo Guerleo and in the Toupasko pool. The rice field does not form by itself a favorable environment for snails to develop in it. Spots where transmission occurare more often in the area the secondary of tertiary irrigation canals and the brains. The ditches obstructed by plants are the places where the snails are developing best. Bulinus spp. are found in large numbers in the lowest parts of the aquatic network and they accumulate there to survive drought conditions in the mud. The recently built irrigation systems are not massively invaded by the snails yet and the prevalence of bilharziasis in the area correspond to the distribution of the intermediate hosts of schistosomes and to the density of the snails populations.
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PMID:[Epidemiologic study of S. haematobium bilharziasis in the rice fields of Yagoua (North Cameroon) II. Distribution and ecology of intermediate hosts]. 720 92

Chronic intestinal schistosomiasis (CIS) can mimic chronic colitis of other etiologies, particularly inflammatory bowel disease. Recognizing clinical and pathologic features unique to schistosomiasis can facilitate differential diagnosis. Clinical, endoscopic, imaging, macroscopic, and histologic features of 40 CIS cases were reviewed and compared with 40 cases of Crohn disease (CD). The most common symptoms of CIS were abdominal pain, distention, bloody stool, weight loss, and anemia. Lesions were mainly located in the rectum and/or left colon in 67.5% of patients. Polyps were seen colonoscopically in 57.1% and yellow granular hyperplasia in 40% of patients. Spotty or linear calcifications were radiographically seen in 21.7% of patients. Macroscopically mural thickening and stricture with erosions or ulcerations were seen in resected specimens of CIS. Four patients were initially diagnosed as having ulcerative colitis and 3 as CD (a misdiagnosis rate of 17.5%). The key microscopic feature was calcified ova in the submucosa, some accompanied by fibrosis, granulomas, or multinucleated giant cells. Crypt distortion, ulceration, and transmural lymphoid aggregates were less frequent in CIS than CD (P<0.05). Pyloric gland metaplasia was absent in CIS. Interestingly, eosinophilic counts were not significantly increased in tissue in CIS as compared with CD. Thus, clinical, endoscopic, imaging, and macroscopic manifestations are not specific for CIS. Correct diagnosis relies on increased awareness of this disease and rigorous search for parasitic eggs in tissue, particularly in patients from endemic areas who are suspected to have inflammatory bowel disease.
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PMID:Clinicopathologic Features of Chronic Intestinal Schistosomiasis and Its Distinction From Crohn Disease. 3299 43