AsymptomaticSchistosoma haematobiumInfection in a Traveler With Negative Urine Microscopy and Late Seroconversion Presumably Linked to Artemisinin
Author(s) -
Nicolás MartínezCalle,
Ignacio Pascual,
M. Rubio,
Rafael Carías,
José Luís del Pozo,
José Ramón Yuste
Publication year - 2013
Publication title -
journal of travel medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.985
H-Index - 59
eISSN - 1708-8305
pISSN - 1195-1982
DOI - 10.1111/jtm.12043
Subject(s) - medicine , asymptomatic , schistosoma haematobium , praziquantel , seroconversion , cystoscopy , schistosoma , schistosomiasis , urine , helminthiasis , urine cytology , immunology , schistosoma mansoni , surgery , helminths , urinary system , virus
We describe a Schistosoma haematobium infection with asymptomatic eosinophilia, persistently negative urine microscopy, and late seroconversion (7.5 months) in a traveler returning from Mali. After initial negative parasitological tests, travel history led to diagnostic cystoscopy, allowing final diagnosis with urine microscopy after the bladder biopsy. The patient was successfully treated with praziquantel. Difficulties in making the diagnosis of schistosomiasis in asymptomatic returning travelers are discussed; we propose a trial treatment in these cases.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom