Journal of Bacteriology & Parasitology

Clinical features of 14 cases of cerebral schistosomiasis in Jiangxi province

3^rd World Conference on Parasitology & Pathogenesis

July 12-13, 2017 Chicago, USA

Yun Xu and Yiwen Liu

Jiangxi Provincial Institute of Parasitic Diseases, China

Posters & Accepted Abstracts: J Bacteriol Parasitol

Abstract:

Objective: To discuss the clinical features of cerebral schistosomiasis. Method: The clinical data of 14 patients with cerebral schistosomiasis from March 2010 to March 2016 were collected and analyzed retrospectively. Result: The schistosomiasis immunological test of serum and cerebrospinal fluid from these 14 patients were all positive. Eosinophils increased in 10 cases, the percentage was 5.1-60.3%. Schistosomiasis eggs were found in 7 cases by fecal Kato-Katz method. 14 cases were all infected by Schistosoma japonicum. 12 cases were diagnosed as chronic type, 2 cases as acute type. 13 cases received medical treatment, of which 12 cases were cured, 1 case improved; 1 case received surgical resection of the lesion. Conclusion: The clinical manifestations of cerebral schistosomiasis mainly include seizure, headache, dizziness and fever. In the enhanced head magnetic resonance imaging (MRI), the lesions were clustered and merged into lumps, showing a relatively uniform enhancement and the peripheral edema formed a "flame sign", which is the characteristic image of cerebral Schistosoma japonicum. The praziquantel treatment can achieve a good prognosis..

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