Hepatic morbidity associated with Shaematobium in Upper Egypt [an ultrsonographic field study]

ABSTRACT

Several studies demonstrated the usefulness of ultrasonography in diagnosing schistosomal periportal fibrosis. A multistage random sample was taken to represent the rural population of the Egyptian governorates by EPI 123. 31 different rural population communities in Assiut Governorate and 44 in Qena Governorate were studied. The sample size was 14,204 for Assiut and 17,822 in Qena. The sampled households were interviewed for personal data and parasitological examination. One-fifth of the houses were subjected to clinical and abdominal ultrasonography examination and 3058 persons completed all forms in both Assiut and Qena. Hepatic morbidity associated with S. haematobium was studied. It was concluded that, in Upper Egypt S. haematobium infection is associated with mild degree of periportal fibrosis without significant hepatomegaly, splenomegaly or portal vein dilatation which might be due to available chemotherapy