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首页> 外文期刊>BMJ: British medical journal >Katayama fever: an acute manifestation of schistosomiasis
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Katayama fever: an acute manifestation of schistosomiasis

机译：片热:急性的表现血吸虫病

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摘要

Schistosomiasis is prevalent throughout sub-Saharan Africa and parts of south east Asia. It is contracted through contact with any fresh (but not salt) water that harbours the intermediate snail host. Katayama fever is a manifestation of acute schistosomiasis. Typical features include fever, an urticarial rash, enlarged liver and spleen, and bronchospasm. The precise pathogenesis of Katayama fever is unknown, but it is thought to be an immune complex phenomenon, initiated by eggs laid by maturing schistosomes. Typically, symptoms occur four to six weeks after infection. Diagnosis is on clinical grounds as there is no definitive serological or immunological test. Conventional antibody titres may take three months or more to become positive. As a result, the diagnosis is often missed, occasionally with disastrous results, such as schistosomal myelopathy, which may result in permanent neurological damage.
机译：血吸虫病流行在撒哈拉以南的非洲和东南亚的部分地区。它通过接触任何新的合同(但不是盐)水,港口蜗牛中间宿主。急性血吸虫病的表现。特点包括发烧、荨麻疹的皮疹,肝脾肿大和支气管痉挛。片山的确切发病机理发烧未知,但它被认为是一种免疫复杂的现象,由鸡蛋了到期血吸虫病。四到六周后感染。由于没有明确的临床依据血清或免疫测试。抗体滴定度可能需要三个月或者更多变得积极。经常错过,有时也会与灾难性的结果,schistosomal脊髓病等可能会导致永久性的神经损伤。

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