Removal of S. Mansoni in patients with hepatosplenig schistosomiasis: An estimate of the Parasitological load by means of quantitative coproscopy

Abstract

32 Patients with an average age of 18.9 years suffering from schistosomiasis mansoni in its compensated hepatosplenic from who never taken schistosomicidal drugs 'were studied. All the patients were submitted to splenectorrry and filtration of the portal blood for the removal of S. mansoni. A study was made of the relationship between the average number of eggs per gram of faeces obtained from the ana{ysis of 10 successive samples of each patient's faeces b¡r the Kato.,Ifutz method and the number of worms removed from the portal blood. The statistical procedure used revealed a significant relationship between the parameters studied, permitting the establishment of the respective regression equations designed to estimate the numbers of female worms, pairs of ,worms and total worms. From the results and the application of a technique for the constitution of extremé subgroups, the authors propose a classification of the intensity of infection; a) light parasitic load: average number of eggs per gram of faeces less than B0B, corresponding to an estimated parasitic load of less than 226 female worms; b) moderate parasitic load: average number of eggs per gram of faeces between B0B and 3968, corresponding to an estimated. parasitic load. of between 226 and.528 female worms; c) Íntense parasitic load: average number of eggs per gram of faeces greater than 3968, corresponding to an estimated parasitic load greater than 528 female worms. On the basis of the proposed. classification the Authors discuss the indication of specific treatment for schistosomiasis mansoni in patients with the hepatosplenic form of the disease.