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Acute schistosomiasis is a systemic hypersensitivity reaction against the migrating schistosomula and eggs. In this report, we describe an atypical outbreak of the disease with severe cases. Transmission occurred in a nonendemic area of Brazil, which became a new focus of transmission due to the in-migration of infected workers.

clinical infectious diseases/clinical infectious diseases (online. university of chicago. press)

An Outbreak of Acute Schistosoma mansoni Schistosomiasis in a Nonendemic Area of Brazil: A Report on 50 Cases, Including 5 With Severe Clinical Manifestations