Abstract

SILVA, Paula Carolina Valença  and  DOMINGUES, Ana Lúcia Coutinho. Epidemiologic aspects of hepatosplenic schistosomiasis in the State of Pernambuco, Brazil. Epidemiol. Serv. Saúde [online]. 2011, vol.20, n.3, pp.327-336. ISSN 1679-4974.  http://dx.doi.org/10.5123/S1679-49742011000300007.

OBJECTIVE: identify the main clinical and social demographic aspects of the hepatosplenic form of schistosomiasis in patients attended at the University Hospital in Recife, capital of the State of Pernambuco, Brazil, between september 2008 and march 2009. METHODOLOGY: a cross sectional study; the cases were diagnosed by abdominal ultrasound, confirming periportal fibrosis and splenomegaly. RESULTS: the occurrence of the disease proved to be high in the age group from 51 to 60 years, presenting 61% of female gender; implies an increase in the number of serious cases arising from Recife (20.1%) in comparison with previous studies, of which 5 been born in the city and more cases coming from Jaboatão dos Guararapes (11.9%); upper digestive bleeding (UDB) was confirmed in 61.6% of the cases, and 16 patients were not treated for schistosomiasis previously. CONCLUSION: this study demonstrates the appearance of this disease in the coast and in the Metropolitan Area of Recife, as well as the seriousness of these cases due to the high frequency of UDB episodes, indicating the need for efficient control programs and continuous vigilance.

Keywords : Schistosomiasis mansoni; hepatosplenic form; epidemiology; hematemesis.

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