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Schistosomiasis — SCE Infectious Diseases MCQ

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HardParasitologySchistosomiasisSCE Infectious Diseases

Urine microscopy from a migrant with terminal haematuria shows viable large ovoid eggs with terminal spines, confirming Schistosoma haematobium. There is no neurological disease. What is the specific treatment?

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Correct answer: C — Praziquantel to a total dose of 40 mg/kg over one day

The best answer is “Praziquantel to a total dose of 40 mg/kg over one day”. Terminal-spined eggs in urine identify Schistosoma haematobium. In the absence of neurological disease, praziquantel at a total dose of 40 mg/kg over one day is the specific treatment. Albendazole, mebendazole, nitazoxanide and metronidazole target different parasites or organisms and do not treat urinary schistosomiasis.

Reference: WHO schistosomiasis fact sheet: https://www.who.int/news-room/fact-sheets/detail/schistosomiasis