Cercarial Dermatitis, a Neglected Allergic Disease

Clinical Reviews in Allergy - Tập 45 - Trang 63-74 - 2012
Libuše Kolářová1, Petr Horák2, Karl Skírnisson3, Helena Marečková1, Michael Doenhoff4
1Institute of Immunology and Microbiology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague 2, Czech Republic
2Department of Parasitology, Faculty of Science, Charles University in Prague, Prague 2, Czech Republic
3Laboratory of Parasitology, Institute for Experimental Pathology, University of Iceland, Reykjavík, Iceland
4School of Biology, University of Nottingham, Nottingham, UK

Tóm tắt

Cercarial dermatitis (swimmer's itch) is a common non-communicable water-borne disease. It is caused by penetration of the skin by larvae (cercariae) of schistosomatid flukes and develops as a maculopapular skin eruption after repeated contacts with the parasites. The number of outbreaks of the disease is increasing, and cercarial dermatitis can therefore be considered as an emerging problem. Swimmer's itch is mostly associated with larvae of the bird schistosomes of Trichobilharzia spp. Recent results have shown that mammalian infections (including man) manifest themselves as an allergic reaction which is able to trap and eliminate parasites in the skin. Studies on mammals experimentally infected by bird schistosome cercariae revealed, however, that during primary infection, parasites are able to escape from the skin to the lungs or central nervous system. This review covers basic information on detection of the infectious agents in the field and the clinical course of the disease, including other pathologies which may develop after infection by cercariae, and diagnosis of the disease.

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