Schistosomiasis (Bilharzia) Differential Diagnoses

Updated: Jun 11, 2020
  • 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