الفهرس 
Review of LiteratureOnly 14 pages are availabe for public view
 |  | from | 361 |  |  |
| | | from | 361 | | |
Abstract
In this study a review of epidemiology, pathology,
and diagnosis of bilharziasis was done. Also a review of
viral hepatitis and chronic hepatitis was studied. In
addi tion there was chapter in viral hepatitis with bilharziasis.
In the practical study 72 inpatients in endemic
disease section in Ain Shams University were selected. All
of them were proved to be bilharzial by one or more of the
diagnostic methods. Their stools were examined by the three
quantitative stool examination techniques, Kato, Bell and
Ritche. In addition they were examined by rectal snip
transparency technique. Out of them 48 patients were
examined by concentrated Bell technique (it is a modification
of Bell technique induced by us).
130 patients were inquired about their symptoms
and examined clinically. Their stools were examined for
Schistosoma mansoni eggs by Kato technique. They are
-262-
classified into four group according to intensity of
infection:
1- Negative stool cases (negative egg).
2- Light intensity of infection (10-100 egg~grm).
3- Moderate intensity of infection (101-400 ego//grm)
4- Heavy intensity of infection (more than 400 eggs/
gram) .
The frequency of the signs and symptoms of the
disease were studied in each group to detect the correlation
between the intensity of infection and the clinical picture
of the patient.
Ten patients with active S.mansoni infection were
examined by Kato technique for several successive days.
All of them were positive for S.mansoni eggs. The daily
deviation of egg counts recovered by Kato technique was
studied.
The stool of two patients with heavy intensity of
--------
-263-
intestinal infection were examined by Kato technique. From
each premixed motion of the same pati.nt we prepare five
slides for examination by Kato technique to detect the
deviation of egg counts from slide to slide from the
same motion of the same patient.
30 mice were infected with ~imansoni cercaria. Ten
mice were Eacrified after 1.5 month, ~ months and 3 months
respectivly. The stool of each mous~ at the last living
day was examined by Kato technique fot S.mansoni ova. The
Schistosoma worms were counted. The correlation between
the worm burden and the egg counts were studied.
The stools of eight mice wer~ examined for sex
successive days by Kato technique for S.mansoni eggs, to
study the deviation of egg counts fron day to day.
127 inpatients with bilharziasis or past history
of antibilharzial treatment were chosen . Each patient
-264--
was examined clinically, the stool was examined for
S.mansoni eggs by Kato technique and liver biopsy was
taken.
According to liver biopsy examinations we classified
the total bilharzial patients into:
1- Patients with pure bilharzial liver (52)
2- Patients with chronic persistent hepatitis(C.P.H)
(22 ).
3- Patients with C.P.H with bilharziasis (20).
4- Patients with chronic active hepatitis (C.A.H.)
(23)
5- Patients with C.A.H with bilharziasis (10)
The frquency of patients with positive S.mansoni
eggs in stool in each group was studied.
The correlation between the intensity of excreted
S.mansoni eggs in stool and each of the histopathological
-265-.
group was studied.
Correlation between the intensity of excreted
S.mansoni egg and size of liver or spleen in patients
with pure bilharzial liver, C.P.H and C.A.H were done
respectivly