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(Chest. 1960;38:528-532.)
© 1960 American College of Chest Physicians

Parenchymatous (Bronchopulmonary) Manifestations of Pulmonary Bilharziasis

ABDEL-AZIZ SAMI M.D., F.C.C.P.1; TAHA GOMAA M.D., F.C.C.P.1; and MOHAMED EL-ALAMI D.CH.T.1

1 The Chest Department, Cairo University Medical School.

1. The chest findings in 57 cases of bilharzia admitted to hospital have been analyzed.

2. The only finding directly attributed to the bilharzial infection was presence of ova in the sputum, which were present in three of 29 cases.

3. The following findings were possibly, but not certainly, due to bilharzia: (a) localized rales, (b) radiological shadows of a localized patchy or strandy nature, (c) asthma in which improvement occurred after antibilharzial treatment.

4. The following findings were most probably associated, and not casually related: (a) asthma or asthmatic bronchitis, in which no improvement occurred after specific treatment, (b) generalized emphysema, (c) minimal dilatation of subsegmental bronchi.

5. In a mass radiography survey of an endemic area, the incidence of parenchymatous pulmonary shadows was comparable in bilharzial and non-bilharzial subjects.






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