What are the possible complications of schistosomiasis (bilharzia)?

Updated: Sep 20, 2018
  • Author: Shadab Hussain Ahmed, MD, AAHIVS, FACP, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Complications of schistosomiasis include the following:

  • Gastrointestinal (GI) bleeding

  • GI obstruction

  • Malnutrition

  • Schistosomal nephropathy

  • Renal failure

  • Pyelonephritis

  • Hematuria

  • Hemospermia

  • Squamous cell bladder cancer

  • Sepsis (Salmonella)

  • Pulmonary hypertension

  • Cor pulmonale

  • Neuroschistosomiasis - Transverse myelitis, paralysis, and cerebral microinfarcts

  • Infertility

  • Severe anemia

  • Low ̶ birth-weight babies

  • Spontaneous abortion

  • Higher risk for ectopic pregnancies

  • End-organ disease

  • Portal hypertension

  • Obstructive uropathy

  • Pregnancy complications from vulvar or fallopian granuloma

  • Carcinoma of the liver, bladder, or gallbladder


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