Description

Heterophyid intestinal flukes may migrate or release eggs into the small bowel wall. From here they can enter lymphatics or blood vessels and be carried to distant organs.


 

Organs that may be involved:

(1) heart

(2) spinal cord

(3) brain

(4) lung

(5) liver

(6) spleen

 

Clinical findings:

(1) myocarditis with palpitations, arrhythmias or abnormal heart sounds

(2) heart failure with edema and ascites

(3) cough, dyspnea, cyanosis

(4) transverse myelitis with pain, sensory changes, motor changes and/or loss of reflexes

(5) symptoms of intestinal involvement (see previous section)

 

Biopsy shows granulomatous inflammation with or without eosinophils.

 

Laboratory findings: as for intestinal heterophyiasis (see previous section)

 

Differential diagnosis:

(1) Schistosomal myeloradiculopathy

 


To read more or access our algorithms and calculators, please log in or register.