A 22-year-old traveller returns from a freshwater rafting trip in Uganda. Six weeks later, she presents with Katayama syndrome. Stool and urine micros...

Question

A 22-year-old traveller returns from a freshwater rafting trip in Uganda. Six weeks later, she presents with Katayama syndrome. Stool and urine microscopy are negative. Schistosome serology (ELISA) is positive. What is the most appropriate management?

Accepted Answer

Treatment with corticosteroids for the acute hypersensitivity reaction, followed by praziquantel once the acute phase subsides (typically after 6-8 weeks) to ensure mature adult worms are present

Answer

Immediate treatment with praziquantel

Answer

No treatment is needed as Katayama syndrome is self-limiting

Answer

Albendazole for 3 days

Answer

Ivermectin single dose

uk-dtmh MCQ (SBA): Katayama Syndrome Management

A 22-year-old traveller returns from a freshwater rafting trip in Uganda. Six weeks later, she presents with Katayama syndrome. Stool and urine microscopy are negative. Schistosome serology (ELISA) is positive. What is the most appropriate management?