Patients with severe schistosomiasis mansoni in Ituri Province, Democratic Republic of the Congo

Table 1 Schistosoma mansoni infection and associated morbidity in the four villages where the eight patients resided in 2017 (n = 164)

Characteristics	n	%
Gender
Females	87	53.0
Males	77	47.0
Age categories (years)
6–9	32	19.5
10–14	40	24.4
15–19	19	11.6
20–29	17	10.4
30–39	22	13.4
≥ 40	34	20.7
Body mass index (kg/m²—categories)
Overweight (≥ 25.0)	10	6.1
Normal weight (18.5–24.9)	62	37.8
Underweight (< 18.5)	92	56.1
S. mansoni infection
Kato-Katz test	118	72.0
POC-CCA test	129	78.7
KK + POC-CCA*	142	86.6
Infection intensity (KK only)
Negative	46	28.0
Light	51	31.1
Moderate	41	25.0
Heavy	26	15.9
Clinical findings
Diarrhea	56	34.2
Blood in stool	56	34.2
Abdominal pain	98	59.8
Ultrasound findings
Hepatomegaly	51	31.1
Splenomegaly	69	42.1
Ascites	4	2.4
Pattern A	47	28.7
Pattern B	14	8.5
Pattern C	61	37.2
Pattern D	18	11.0
Pattern E	13	7.9
Pattern F	11	6.7

*KK + POC-CCA, combined any positive result (by Kato-Katz and/or by point-of-care circulating cathodic antigen [POC-CCA]); KK only, only Kato-Katz test results taken into account (at least one egg in at least one of two smears). Liver patterns associated with schistosomiasis: A normal; B starry sky; C rings and pipe-stems; D ruff around portal bifurcation; E patches; F bird’s claw

ISSN: 2049-9957