Schistosomiasis (Bilharzia) Differential Diagnoses

Updated: Jul 24, 2017
  • Author: Shadab Hussain Ahmed, MD, AAHIVS, FACP, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Diagnostic Considerations

Fever and rash with eosinophilia can be due to other helminthic parasitic diseases or drug reactions. Hematuria may also indicate other disorders, including the following:

  • Renal tuberculosis
  • Urogenital tract cancer
  • Acute nephritis

Intestinal and liver symptoms may indicate the following disorders:

  • Peptic ulcer disease
  • Pancreatitis
  • Visceral leishmaniasis
  • Myeloproliferative syndromes
  • Tropical splenomegaly

Seizures and focal neurologic symptoms may be indicative of epilepsy or of any space-occupying lesion.

Other conditions to consider in the differential diagnosis of schistosomiasis include the following:

  • Appendicitis
  • Gastroenteritis
  • Inflammatory bowel disease
  • Salmonella infection
  • Serum sickness
  • Spinal cord infections
  • Urinary obstruction
  • Female urinary tract infection
  • Male urinary tract infection
  • Acute viral syndrome (including HIV)
  • Drug reactions
  • Helminthic parasitic diseases
  • Pancreatitis
  • Tropical splenomegaly
  • Cirrhosis
  • Pulmonary hypertension
  • Co-infection with malaria
  • Co-infection with HIV
  • Co-infection with hepatitis B or hepatitis C

Differential Diagnoses