The Cairo Working Group proposed criteria for staging a patient with Schistosoma mansoni infection. This is based on clinical and ultrasonographic findings. It can be used to predict patient outcome and to monitor efficacy of treatment.
Parameter |
Stage 0 |
Stage I |
Stage II |
Stage III |
periportal thickening |
absent |
mild to moderate |
mild to severe |
moderate to severe |
splenomegaly |
absent |
absent |
present |
present |
enlarged left hepatic lobe |
absent |
borderline |
borderline |
present |
shrunken right hepatic lobe |
absent |
borderline |
present |
present |
increase portal vein diameter |
absent |
absent |
present |
present |
collaterals (in adults) |
absent |
absent |
borderline |
present |
small eiploon (in children) |
absent |
absent |
borderline |
present |
ascites |
absent |
absent |
absent |
present |
gallbladder wall thickening |
absent |
absent |
borderline |
present |
where:
• I have no idea what "eiploon" refers to.
• The presence of other diseases such as malaria or viral hepatitis in the patient will affected the size of the liver and spleen.
Specialty: Infectious Diseases, Gastroenterology, Urology
ICD-10: ,