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Intermittent fever, splenomegaly and eosinophilia in a recently resettled African refugee

Muhammad Mohd Abd Rahman1, Penelope Bryant, Des Guppy

  • 1Paediatric Infectious Diseases Unit, Royal Children’s Hospital, Parkville, Victoria, Australia.

Journal of Paediatrics and Child Health
|August 18, 2012
PubMed

Insights

A refugee child with acute schistosomiasis presented with fever and enlarged organs. This case highlights the importance of considering schistosomiasis in eosinophilia diagnosis for refugees.

Area of Science:

  • Tropical medicine
  • Parasitology
  • Pediatric infectious diseases

Background:

  • Schistosomiasis is a parasitic disease prevalent in tropical regions.
  • Resettled refugees and returned travelers are at risk of parasitic infections.
  • Acute schistosomiasis can present with non-specific symptoms.

Observation:

  • A recently resettled African refugee child presented with fever, hepatosplenomegaly, and marked eosinophilia.
  • The clinical presentation mimicked other febrile illnesses common in this population.

Findings:

  • Eosinophilia in refugees and travelers necessitates a broad differential diagnosis.
  • Schistosomiasis diagnosis requires consideration of exposure history and clinical signs.
  • Management of acute schistosomiasis involves parasiticidal treatment and supportive care.

Implications:

  • Early diagnosis and treatment of schistosomiasis are crucial to prevent long-term complications.
  • Clinicians should maintain a high index of suspicion for schistosomiasis in at-risk populations.
  • Further research is needed to clarify optimal management strategies for acute schistosomiasis.

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