The Importance of Definitive Diagnosis in Chronic Schistosomiasis, with Reference to Schistosoma haematobium

Schistosomes are long-lived parasites, hence schistosomiasis is a chronic disease with severe long-term implications. However, definitive diagnosis of active infection has been difficult because demonstration of infection has depended on detecting parasite eggs in urine and/or stool. In the case of...

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Main Author: Clive Shiff
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Parasitology Research
Online Access:http://dx.doi.org/10.1155/2012/761269
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author Clive Shiff
author_facet Clive Shiff
author_sort Clive Shiff
collection DOAJ
description Schistosomes are long-lived parasites, hence schistosomiasis is a chronic disease with severe long-term implications. However, definitive diagnosis of active infection has been difficult because demonstration of infection has depended on detecting parasite eggs in urine and/or stool. In the case of Schistosoma haematobium which parasitizes the urinogenital system, this method has low sensitivity in adults. Detection of parasite-specific DNA in urine has been demonstrated and this has similar specificity but improved sensitivity. The implications of this new procedure and the impact on diagnosis are discussed.
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spelling doaj-art-e2c7121648264deea64ccb82684ec2142025-02-03T07:23:32ZengWileyJournal of Parasitology Research2090-00232090-00312012-01-01201210.1155/2012/761269761269The Importance of Definitive Diagnosis in Chronic Schistosomiasis, with Reference to Schistosoma haematobiumClive Shiff0Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USASchistosomes are long-lived parasites, hence schistosomiasis is a chronic disease with severe long-term implications. However, definitive diagnosis of active infection has been difficult because demonstration of infection has depended on detecting parasite eggs in urine and/or stool. In the case of Schistosoma haematobium which parasitizes the urinogenital system, this method has low sensitivity in adults. Detection of parasite-specific DNA in urine has been demonstrated and this has similar specificity but improved sensitivity. The implications of this new procedure and the impact on diagnosis are discussed.http://dx.doi.org/10.1155/2012/761269
spellingShingle Clive Shiff
The Importance of Definitive Diagnosis in Chronic Schistosomiasis, with Reference to Schistosoma haematobium
Journal of Parasitology Research
title The Importance of Definitive Diagnosis in Chronic Schistosomiasis, with Reference to Schistosoma haematobium
title_full The Importance of Definitive Diagnosis in Chronic Schistosomiasis, with Reference to Schistosoma haematobium
title_fullStr The Importance of Definitive Diagnosis in Chronic Schistosomiasis, with Reference to Schistosoma haematobium
title_full_unstemmed The Importance of Definitive Diagnosis in Chronic Schistosomiasis, with Reference to Schistosoma haematobium
title_short The Importance of Definitive Diagnosis in Chronic Schistosomiasis, with Reference to Schistosoma haematobium
title_sort importance of definitive diagnosis in chronic schistosomiasis with reference to schistosoma haematobium
url http://dx.doi.org/10.1155/2012/761269
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