Stool examination and rectal biopsy in the diagnosis and evaluation of therapy of schistosomiasis mansoni

Rev Inst Med Trop Sao Paulo. 1992 Nov-Dec;34(6):601-8. doi: 10.1590/s0036-46651992000600016.

Abstract

From each of a group of 217 adult males selected through enzyme-immunoassay or skin-test (Group A), six stool samples were examined by both the Lutz/Hoffman, Pons & Janer (Lutz/HPJ) and Kato/Katz methods. In addition, one oogram of the rectal mucosa was performed. By these methods, schistosomiasis was detected in 44.7%, 47.5% and 40.1% of the individuals respectively. To evaluate the methods in the assessment of cure, the last 40 patients from group A, treated with a single oral dose of oxamniquine at 15 mg/kg were followed up for six months (Group B). The criteria for parasitological cure included three stool examinations by Kato/Katz and Lutz/HPJ methods, one, three and six months post-treatment and a rectal biopsy between the fourth and sixth months post-treatment. The examinations were negative in 87.5%, 90% and 95% of the patients, respectively. The efficacy of oxamniquine was 82.5% when the three methods were considered together and there was no statistically significant difference between the sensitivity of the individual methods.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Biopsy
  • Brazil
  • Evaluation Studies as Topic
  • Feces / parasitology*
  • Humans
  • Male
  • Methods
  • Military Personnel
  • Oxamniquine / administration & dosage
  • Rectum / parasitology
  • Rectum / pathology*
  • Schistosoma mansoni / isolation & purification*
  • Schistosomiasis mansoni / diagnosis*
  • Schistosomiasis mansoni / drug therapy
  • Schistosomiasis mansoni / parasitology
  • Schistosomiasis mansoni / pathology
  • Time Factors

Substances

  • Oxamniquine