What monitoring is needed following treatment 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

Antischistosomal drugs inhibit egg-laying by adult worms. Therefore, patients’ stool and urine should be tested for 6 months after treatment. Treatment is repeated for those excreting eggs. If symptoms recur, hematuria occurs, or eosinophilia is noted, repeat parasite investigation should be performed. However, serology can remain positive for years.


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