Validity of selected clinical signs and symptoms in diagnosis of Schistosoma mansoni infection.

Abstract:

:Sensitivity, specificity and positive predictive values of selected clinical signs and symptoms in the diagnosis of Schistosoma mansoni infection were evaluated in 403 individuals (69% of inhabitants over 1 year of age) in an endemic area in Brazil (Divino). Highest sensitivity (13%) was found for blood in stools. Specificity over 90% was found for blood in stools, palpable liver with normal consistency and palpable hardened liver at middle clavicular (MCL) or middle sternal lines (MSL). Hardened liver at MSL (83%) or MCL (75%), and blood in stools (78%) presented higher positive predictive values for S. mansoni infection, while palpable liver with normal consistency at MCL (45%) or MSL (48%) presented smaller values. Enlarged liver without specification of its consistency has been traditionally used as an indicator of the infection in areas where malaria or Kala-azar are not endemic. Our results demonstrate that the probability that a person with blood in stools or hardened palpable liver is infected is higher than among those with palpable liver with normal consistency.

authors

de Lima e Costa MF,Rocha RS,Colley D,Gazzinelli G,Katz N

doi

10.1590/s0036-46651991000100003

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

12-7

issue

1

eissn

0036-4665

issn

1678-9946

journal_volume

33

pub_type

杂志文章
  • A case of human rabies in the urban area of Ribeirã Preto, SP, Brazil.

    abstract::A 39-year old male patient was admitted to the University Hospital of the Faculty of Medicine of Ribeirão, Preto with signs and symptoms of sudden dyspnea, generalized myalgia and behavioral disorders. The initial suspicion was alcohol abstinence syndrome and the patient was referred for psychiatric and neurologic car...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651997000300010

    authors: Silva JM,Silva AA,Ferreira AH,Monteiro ME,Santiago RC,Passos AD

    更新日期:1997-05-01 00:00:00

  • Clinical and laboratory findings of disseminated Mycobacterium avium complex infection (DMAC) in a pair matched case-control study.

    abstract::A pair matched case/control study was conducted from January 1991 to 30 June 1992 in order to define clinical and laboratory findings associated with DMAC infection in AIDS patients. Since DMAC infection is usually associated with advanced immunodeficiency, and therefore also with other opportunistic illnesses, in add...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651999000500002

    authors: Rolla V,Jacomet C,Salause B,Wirbel E,Perez M,Daniel-Ribeiro CT,Rozenbaum W

    更新日期:1999-09-01 00:00:00

  • [E.L.I.S.A. in human coccidioidomycosis].

    abstract::An E.L.I.S.A. test for antibody detection, with an exo-antigen of Coccidioides immitis was standardized in 67 humans sera diluted in 1/1000, 1/2000, 1/4000 and 1/8000. Eighteen sera from mycologically proved cases of coccidioidomycosis were studied: 5 were negative and 13 were positive in some dilutions. 3/26 sera of ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651991000400007

    authors: Tiraboschi IN,Marticorena B,Negroni R

    更新日期:1991-07-01 00:00:00

  • Anopheles (Kerteszia) cruzii (Diptera: Culicidae) in peridomiciliary area during asymptomatic malaria transmission in the Atlantic Forest: molecular identification of blood-meal sources indicates humans as primary intermediate hosts.

    abstract::Anopheles (Kerteszia) cruzii has been implicated as the primary vector of human and simian malarias out of the Brazilian Amazon and specifically in the Atlantic Forest regions. The presence of asymptomatic human cases, parasite-positive wild monkeys and the similarity between the parasites infecting them support the d...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652014000500006

    authors: Kirchgatter K,Tubaki RM,Malafronte Rdos S,Alves IC,Lima GF,Guimarães Lde O,Zampaulo Rde A,Wunderlich G

    更新日期:2014-09-01 00:00:00

  • Presence of rotavirus and free-living amoebae in the water supplies of Karachi, Pakistan.

    abstract::Rotavirus and pathogenic free-living amoebae are causative agents of important health problems, especially for developing countries like Pakistan where the population has limited access to clean water supplies. Here, we evaluated the prevalence of rotavirus and free-living amoebae (Acanthamoeba spp., Balamuthia mandri...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201759032

    authors: Yousuf FA,Siddiqui R,Khan NA

    更新日期:2017-06-01 00:00:00

  • [Paracoccidioidomycosis among the indian group Suruí of Rondonia, Amazonia, Brazil. A case report].

    abstract::The Authors report a case of paracoccidioidomycosis in a Surui Indian patient from the state of Rondonia, Brazilian Amazon. The subject is an adult male, having been diagnosed on the basis of mycologic, serologic, and radiographic exams. The prescribed therapy was sulphamethoxazole 800 mg associated with trimethoprim ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:

    authors: do Valle AC,Coimbra Júnior CE,Llinares FI,Monteiro PC,Guimarães MR

    更新日期:1991-09-01 00:00:00

  • Clinical and microbiological characteristics of patients colonized or infected by Stenotrophomonas maltophilia : is resistance to sulfamethoxazole/trimethoprim a problem?

    abstract::Stenotrophomonas maltophilia has emerged as an important opportunistic pathogen in the last decade. Increased resistance to sulfamethoxazole/trimethoprim (SMX/TMP) has been reported in S. maltophilia strains in the past few years, leading to few therapeutic options. We conducted a prospective multicenter study at two ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946202062096

    authors: Mendes ET,Paez JIG,Ferraz JR,Marchi AP,Silva ILAFE,Batista MV,Lima ALM,Rossi F,Levin AS,Costa SF

    更新日期:2020-12-07 00:00:00

  • FACTORS RELATED TO ORAL CANDIDIASIS IN ELDERLY USERS AND NON-USERS OF REMOVABLE DENTAL PROSTHESES.

    abstract::This study examined the association between oral candidiasis in elderly users and nonusers of prosthesis and its predisposing factors. To this end, we performed a cross-sectional study where saliva samples from 48 patients were collected they used prosthesis and 43 patients (control group) who did not use. Among the 9...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201658017

    authors: Bianchi CM,Bianchi HA,Tadano T,Paula CR,Hoffmann-Santos HD,Leite DP Jr,Hahn RC

    更新日期:2016-01-01 00:00:00

  • Screening the mutagenic activities of commonly used antiparasite drugs by the Simultest, a simplified Salmonella/microsome plate incorporation assay.

    abstract::The mutagenic activities of 16 anti-parasite drugs were screened by the Simultest in both qualitative (spot test) and quantitative (plate incorporation) assays with a Salmonella typhimurium pool composed by the indicator strains TA97, TA98, TA100 and TA102. Four anti Chagas' disease drugs (nifurtimox, benznidazole, CL...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651990000400006

    authors: Melo ME,Ferreira LC

    更新日期:1990-07-01 00:00:00

  • Unusual case of lagochilascariasis with breast involvement: the first case report in pregnancy.

    abstract::Lagochilascariasis is a neglected neotropical helminthiasis, responsible for human infections through the ingestion of raw or undercooked meat from wild animals infected by larvae encysted in their tissues. It is characterized by a chronic evolution with periods of remission and recurrences, affecting mainly the head ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type:

    doi:10.1590/S1678-9946202062086

    authors: Assy JGPL,Esper HR,Quiroga MMM,Brandão ADS,Said RDC,Pinheiro OC,Ribeiro APDS,Santo MCCDE,França FOS

    更新日期:2020-11-09 00:00:00

  • Validation of a rapid stool antigen test for diagnosis of Helicobacter pylori infection.

    abstract::The aim of this study was to validate the rapid lateral flow Helicobacter pylori stool antigen test (One step H. pylori antigen test, ACON laboratories, San Diego, USA; Prime diagnostics, São Paulo), using 13C-Urea Breath Test as the gold standard for H. pylori infection diagnosis. A total of 98 consecutive patients, ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652010000300002

    authors: Silva JM,Villares CA,Monteiro Mdo S,Colaúto C,dos Santos AF,Mattar R

    更新日期:2010-05-01 00:00:00

  • Fecal specimens preparation methods for PCR diagnosis of human taeniosis.

    abstract::Sample preparation and DNA extraction protocols for DNA amplification by PCR, which can be applied in human fecal samples for taeniasis diagnosis, are described. DNA extracted from fecal specimens with phenol/chloroform/isoamilic alcohol and DNAzol reagent had to be first purified to generate fragments of 170 pb and 6...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652006000100010

    authors: Nunes CM,Lima LG,Manoel CS,Pereira RN,Nakano MM,Garcia JF

    更新日期:2006-01-01 00:00:00

  • Prevalence of intestinal parasites in children from public daycare centers in the city of Belo Horizonte, Minas Gerais, Brazil.

    abstract::The objective of this study was to verify the occurrence of intestinal parasites in 3 to 6-year-old children from daycare centers maintained by the municipal government of Belo Horizonte, Minas Gerais, Brazil. Coproparasitological tests performed in 472 children have shown that 24.6% of them had some type of parasites...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652008000100013

    authors: Menezes AL,Lima VM,Freitas MT,Rocha MO,Silva EF,Dolabella SS

    更新日期:2008-01-01 00:00:00

  • Renal involvement in human rabies: clinical manifestations and autopsy findings of nine cases from northeast of Brazil.

    abstract::A retrospective study was conducted in nine patients with rabies admitted to a hospital of Fortaleza, Brazil. Autopsy was performed in all cases. The ages ranged from three to 81 years and six were males. They all were bitten by dogs. The time between the accident and the hospital admission ranged from 20 to 120 days ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652005000600002

    authors: Daher Ede F,da Silva Júnior GB,Ferreira MT,Barros FA,Gurgel TM,Patroćinio RM

    更新日期:2005-11-01 00:00:00

  • Immunoprecipitation techniques and Elisa in the detection of anti-Fonsecaea pedrosoi antibodies in chromoblastomycosis.

    abstract::Chromoblastomycosis (CBM) is a chronic subcutaneous infection caused by several dematiaceous fungi. The most commonly etiological agent found in Brazil is Fonsecaea pedrosoi, which appears as thick walled, brownish colored cells with transverse and longitudinal division in the lesions, called "muriform cells". This di...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652003000600003

    authors: Vidal MS,de Castro LG,Cavalecate SC,Lacaz Cda S

    更新日期:2003-11-01 00:00:00

  • Production of monoclonal antibodies anti-Taenia crassiceps cysticerci with cross-reactivity with Taenia solium antigens.

    abstract::We describe the production of the potential monoclonal antibodies (MoAbs) using BALB/c mice immunized with vesicular fluid (VF)-Tcra (T. crassiceps) antigen. Immune sera presented anti-VF-Tcra (<20kD) IgG and IgM antibodies with cross-reactivity with T. solium (Tso) antigen (8-12, 14, and 18 kD). After cell fusion, we...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652000000300013

    authors: Espíndola NM,De Gaspari EN,Nakamura PM,Vaz AJ

    更新日期:2000-05-01 00:00:00

  • Evaluation of E. coli inhibition by plain and polymer-coated silver nanoparticles.

    abstract::Escherichia coli causes various ailments such as septicemia, enteritis, foodborne illnesses, and urinary tract infections which are of concern in the public health field due to antibiotic resistance. Silver nanoparticles (AgNP) are known for their biocompatibility and antibacterial activity, and may prove to be an alt...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s1678-9946201860018

    authors: Ashmore D,Chaudhari A,Barlow B,Barlow B,Harper T,Vig K,Miller M,Singh S,Nelson E,Pillai S

    更新日期:2018-01-01 00:00:00

  • [Acute Chagas' disease: transmission routes, clinical aspects and response to specific therapy in diagnosed cases in an urban center].

    abstract::The authors report clinical features and therapeutic response of 24 outpatients with acute Chagas' disease, and 3 in the initial chronic phase, referred to the Clinic for Infectious and Parasitic Diseases of the FMUSP "Clínicas" Hospital between 1974 and 1987. The following transmission routes were involved: triatomin...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651990000100004

    authors: Shikanai-Yasuda MA,Lopes MH,Tolezano JE,Umezawa E,Amato Neto V,Barreto AC,Higaki Y,Moreira AA,Funayama G,Barone AA

    更新日期:1990-01-01 00:00:00

  • Opportunistic and non-opportunistic intestinal parasites in HIV/ AIDS patients in relation to their clinical and epidemiological status in a specialized medical service in Goiás, Brazil.

    abstract::Patients infected with the Human Immunodeficiency Virus (HIV) often have opportunistic infections, among which strongyloidiasis and coccidiosis are the most common parasitic infections that aggravate their health status. This study examined the prevalence of intestinal parasites, particularly of Strongyloides stercora...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201860013

    authors: Barcelos NB,Silva LFE,Dias RFG,Menezes Filho HR,Rodrigues RM

    更新日期:2018-03-08 00:00:00

  • Nosocomial infection in long-term care facilities. A survey in a Brazilian psychiatric hospital.

    abstract::Nosocomial infection among male patients in a public psychiatric hospital was studied and the definitions for use in long-term care facilities were employed for diagnosis. The overall nosocomial infection rate was 6.7 per 1,000 day inpatients; 55.6% of these infections were identified in the respiratory tract, 50% of ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651999000600006

    authors: Almeida RC,Pedroso RP

    更新日期:1999-11-01 00:00:00

  • HUMAN T-LYMPHOTROPIC VIRUS 1 (HTLV-1) AND HUMAN T-LYMPHOTROPIC VIRUS 2 (HTLV-2): GEOGRAPHICAL RESEARCH TRENDS AND COLLABORATION NETWORKS (1989-2012).

    abstract::Publications are often used as a measure of research work success. Human T-lymphotropic virus (HTLV) type 1 and 2 are human retroviruses, which were discovered in the early 1980s, and it is estimated that 15-20 million people are infected worldwide. This article describes a bibliometric review and a coauthorship netwo...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201658011

    authors: González-Alcaide G,Ramos JM,Huamaní C,Mendoza Cd,Soriano V

    更新日期:2016-01-01 00:00:00

  • Giardia duodenalis: inter-strain variability of proteins, antigens, proteases, isoenzymes and nucleic acids.

    abstract::Giardia duodenalis isolates from asymptomatic or symptomatic patients and from animals present similarities and differences in the protein composition, antigenic profile, pattern of proteases and isoenzymes, as well as in nucleic acids analysis. In the present overview, these differences and similarities are reviewed ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章,评审

    doi:10.1590/s0036-46651999000100009

    authors: Guimarães S,Sogayar MI,de Franco MF

    更新日期:1999-01-01 00:00:00

  • [Human gastroenteritis associated with Vibrio parahaemolyticus in Recife, Brazil].

    abstract::A study was carried out on the occurrence of Vibrio parahaemolyticus in 1,100 diarrheal feces, routinely sent to a private clinical laboratory for microbiologic diagnosis, in Recife. V. parahaemolyticus was isolated from 14 (1.3%) fecal samples. However, if we considered only the specimens from adult patients, the iso...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651991000100012

    authors: Magalhães V,Lima RA,Tateno S,Magalhães M

    更新日期:1991-01-01 00:00:00

  • Immunoglobulin Fc receptors in clinical strains of staphylococcus aureus do not confer resistance to phagocytosis in an in vitro assay

    abstract::Staphylococcus aureus binds Immunoglobulin G (IgG) on its external surface due to the presence of specific receptors for the Fc domain of this immunoglobulin. This mechanism represents a kind of camouflage against phagocytic cells. In order to confirm that possibility an in vitro evaluation of the phagocytic activity ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651999000300001

    authors: Vega B,Garcia JD,Hernandez F

    更新日期:1999-05-01 00:00:00

  • Schistosomiasis mansoni in the "Baixada Ocidental Maranhense", state of Maranhão, Brazil: cross-sectional studies performed in 1987 and 1993.

    abstract::A cross-sectional study on the prevalence of schistosomiasis mansoni in three sites of the "Baixada Ocidental Maranhense" was carried out in 1993 in: Alegre (in the municipality of São Bento), Aliança (in Cururupu) and Coroatá II (in the municipality of São João Batista). Results were compared to those of another stud...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651998000300006

    authors: Cutrim RN,Chieffi PP,de Moraes JC

    更新日期:1998-05-01 00:00:00

  • Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program.

    abstract::The Mato Grosso do Sul State (MS) has the second-largest indigenous population and the highest incidence rates of TB among indigenous people in Brazil. However, little is known about the risk factors associated with active TB in indigenous people in the region, especially regarding socioeconomic factors. The aim of th...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S1678-9946201860063

    authors: Malacarne J,Kolte IV,Freitas LP,Orellana JDY,Souza MLP,Souza-Santos R,Basta PC

    更新日期:2018-10-25 00:00:00

  • THE RELEVANCE OF NUTRITIONAL STATUS AND HISTOPATHOLOGICAL FINDINGS ON THE INFECTIOUS PROCESS OF BALB/C MICE INOCULATED WITH Lacazia loboi.

    abstract::The aim of this study was to evaluate the effects of the protein-calorie malnutrition in BALB/c isogenic mice infected with Lacazia loboi, employing nutritional and histopathological parameters. Four groups were composed: G1: inoculated with restricted diet, G2: not inoculated with restricted diet, G3: inoculated with...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/S0036-46652015000500009

    authors: Barbosa AS,Diório SM,Pedrini SC,Nunes AJ,Belone Ade F,Silva SM,Sartori BG,Calvi SA,Vilani-Moreno FR,Pereira PC

    更新日期:2015-09-01 00:00:00

  • Extended-spectrum beta-lactamases among Enterobacteriaceae isolated in a public hospital in Brazil.

    abstract::Extended-spectrum beta-lactamases (ESBL) in enterobacteria are recognized worldwide as a great hospital problem. In this study, 127 ESBL-producing Enterobacteriaceae isolated in one year from inpatients and outpatients at a public teaching hospital at São Paulo, Brazil, were submitted to analysis by PCR with specific ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46652009000400005

    authors: Dropa M,Balsalobre LC,Lincopan N,Mamizuka EM,Murakami T,Cassettari VC,Franco F,Guida SM,Balabakis AJ,Passadore LF,Santos SR,Matté GR,Matté MH

    更新日期:2009-07-01 00:00:00

  • [Epidemiology and clinical picture of accidents by adult and young snakes Bothrops jararaca].

    abstract::Four hundred and fifteen cases of bites by adult Bothrops jararaca (group A) were admitted to the Hospital Vital Brasil between 1981 and 1987. These cases were compared to 562 cases of bites by young snakes of the same species (group B) during the same period and at the same hospital. In group B blood incoagulability ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:

    authors: Ribeiro LA,Jorge MT

    更新日期:1990-11-01 00:00:00

  • Plasma levels of tumor necrosis factor-alpha in patients with visceral leishmaniasis (Kala-azar). Association with activity of the disease and clinical remission following antimonial therapy.

    abstract::Evaluation of TNF-alpha in patients with Kala-azar has drawn increasing interest due to its regulatory role on the immune system, in addition to its cachetizing activity. The objective of this study was to examine the association between plasma levels of TNF-alpha, measured by immunoreactivity (ELISA) and bioactivity ...

    journal_title:Revista do Instituto de Medicina Tropical de Sao Paulo

    pub_type: 杂志文章

    doi:10.1590/s0036-46651996000200005

    authors: Salomão R,Castelo Filho A,de Medeiros IM,Sicolo MA

    更新日期:1996-03-01 00:00:00