Skip to main content

Cardio-Pulmonary Bilharziasis

  • Chapter
Bilharziasis
  • 146 Accesses

Abstract

Manifest cardio-pulmonary bilharziasis as seen in Egypt almost always develops in conjunction with hepato-splenomegaly; hence the name of porto-pulmonary bilharziasis is suggested. The disease was first described clinically by Azmy and Effat in 1932 [2] under the name of Bilharzial Ayerza. Repeated showers of bilharzia ova are deposited in the peripheral branches of the pulmonary artery and are responsible for the subsequent occlusive angeitis in and around the arterioles along with the formation of angiomatoids [12]. Early in our studies it was noticed that the size of a main pulmonary artery bore little or no relationship to the sustained pressure, that is, the pressure in an aneurysmal pulmonary artery which may even contain large fibrin clots may be distinctly lower than in a correspondingly smaller artery in another patient [14]. In the former group, the oxygen saturation in the pulmonary artery showed a significant increase as the catheter was advanced from proximal to distal [17], the sampling site being kept carefully away from the wedged position. Evidence for the left to right shunt was demonstrated by two procedures [15].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ashba, J. K.: Pulmonary functions in cardiopulmonary schistosomiasis. M. D. thesis. Alexandria University (1959).

    Google Scholar 

  2. Azmy, S., and S. Effat: Pulmonary arteriosclerosis of a bilharzial nature. J. Egypt. Med. Ass. 15, 87–90 (1932).

    Google Scholar 

  3. Comroe, J. H. Jr., R. E. Forster, A. B. Dubois, W. A. Briscoe, and E. Carlsen: The lung clinical physiology and pulmonary function tests. 2nd Ed. Chicago: Year Book Medical Publishers Inc. (1962).

    Google Scholar 

  4. Cugell, D. W.: Measurement of alveolar ventilation, alveolar gas composition and pulmonary dead spaces. In: Advances in cardiopulmonary diseases. 1, 28–37. A. L. Banyai and B. L. Gorden (Eds.). Chicago. Year Book Medical Publishers Inc. 1963.

    Google Scholar 

  5. Foda, M. T.: Haemodynamics in bilharzial cor-pulmonary. M. D. thesis. University of Alexandria (1959).

    Google Scholar 

  6. Foda, M. T., and H. A. Zaki: Pulmonary haemodynamics in schistosoma cor-pulmonale before and after splenectomy. Egypt. J. Chest Dis. Tuberc. 2, 1 (1959).

    Google Scholar 

  7. Fritts, H. W., A. Hardewig, D. F. Rochester, J. Durand, and A. Cournand: Estimation of pulmonary arteriovenous shunts flow using intravenous injections of T-1828 and Kr 85. J. Clin. Invest. 39, 1841–1850 (1960).

    Article  PubMed  Google Scholar 

  8. Gemei, Y.: Unpublished data.

    Google Scholar 

  9. Heinemann, H. O.: Respiration and circulation in patients with portal cirrhosis of the liver. Circulation 22, 154–159 (1960).

    PubMed  CAS  Google Scholar 

  10. Khalil, M.: Study of the nature of oxygen unsaturation in cases of bilharzial hepatosplenomegaly. M. D. thesis, University of Alexandria (1962).

    Google Scholar 

  11. El Khanagry, H. A. Fahmy, M. H. Ghanem, and Y. Seddik: Ammonia tolerance in bilharzial hepato-splenomegaly. Alexandria Med. J. 7, 256–262 (1961).

    Google Scholar 

  12. Shaw, A. F. B., and A. A. Ghareeb: The pathogenesis of pulmonary schistosomiasis in Egypt with special reference to Ayerza’s disease. J. Path. Bact. 46, 401–424 (1938).

    Article  Google Scholar 

  13. Tarabeih, Ali A.: Mechanics of breathing in cardiopulmonary bilharziasis. M. D. thesis. Alexandria University (1965).

    Google Scholar 

  14. Zaky, H. A.: Aneurysm of the pulmonary artery due to schistosomiasis. Dis. Chest 21, 194–204 (1952).

    PubMed  CAS  Google Scholar 

  15. Zaky, H. A., El Heneidy, A. R. and M. T. Foda, Hemodynamic shunts in schistosomal cor pulmonale. Brit. Med J. 1, 367–369 (1962).

    Article  PubMed  CAS  Google Scholar 

  16. Zaky, H. A., El Heneidy, A. R., and M. Khalil: Use of Kr85 in the study of hypoxia in portopulmonary bilharziasis (schistosomiasis). Brit. Med. J. 1, 1021–1024 (1964).

    Google Scholar 

  17. Zaky, H. A., El Heneidy, A. R., Tawfik, T. M.. Y. Gemei, and A. Khadr, Bronchopulmonary shunts in schistosomial cor-pulmonale. Dis. Chest 36: 164–172, (1959).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1967 Springer-Verlag GmbH Berlin Heidelberg

About this chapter

Cite this chapter

Zaky, H.A., Heneidy, A.R.E., Foda, M., Khalil, M., Tarabeih, A.A. (1967). Cardio-Pulmonary Bilharziasis. In: Mostofi, F.K. (eds) Bilharziasis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-49777-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-49777-3_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-49492-5

  • Online ISBN: 978-3-642-49777-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics