What complications may occur in GI schistosomiasis?

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

The most common complication of GI schistosomiasis is periportal fibrosis, also termed Symmers pipestem fibrosis. This leads to portal hypertension and GI hemorrhage. Liver failure is uncommon, except in persons with concomitant chronic hepatitis or cirrhosis. Among persons with S mansoni, S japonicum, and, possibly, S mekongi, 4-8% develop hepatosplenic disease. [20]

People co-infected with either hepatitis B or C and S mansoni have been shown to have rapid progression of liver disease.


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