Pediatric Schistosomiasis Differential Diagnoses

Updated: Feb 26, 2015
  • Author: Vinod K Dhawan, MD, FACP, FRCPC, FIDSA; Chief Editor: Russell W Steele, MD  more...
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DDx

Diagnostic Considerations

Potentially serious asymptomatic infections are common in travelers returning to developed countries. A detailed freshwater exposure history, symptom history, and physical examination may add little in detecting cases. Stool microscopy, schistosomal serology, and the eosinophil count tend to be the best tools for evaluating suspected disease.

Patients with schistosomiasis are, by default, at risk for other parasitic infections because areas that are endemic for schistosomiasis are also endemic for other parasites. After treatment, patients should be monitored for other symptomatology characteristic of parasitic infections.

In addition to the conditions listed in the differential diagnosis, other problems to be considered include the following:

  • Bacterial or viral gastrointestinal (GI) infection in the acute presentation

  • Idiopathic epilepsy

  • Postinfectious viral transverse myelitis

  • Congenital hydronephrosis

  • Congenital heart disease and cor pulmonale

  • Renal disease

Differential Diagnoses