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Could It Be Schistosomiasis?
Muhammad Arshad Alvi1, Sharifa Alghamdi1, Iqtadar Seerat1
1Department of Paediatric Gastroenterology, Hepatology and Nutrition, King Faisal Specialist Hospital & Research Centre, Jeddah, KSA.
Insights
Schistosomiasis can present with varied symptoms, often overlooked in immunocompetent individuals. This case highlights acute schistosomiasis misdiagnosed as lymphoma in an 11-year-old child.
Area of Science:
- Tropical Medicine
- Parasitology
- Pediatric Infectious Diseases
Background:
- Schistosomiasis is a parasitic disease with a wide range of clinical manifestations.
- It is frequently underdiagnosed, particularly in patients with seemingly normal immune systems.
- Diverse symptoms can delay or misdirect diagnosis.
Observation:
- An 11-year-old child presented with symptoms initially suggestive of a serious condition.
- The initial clinical suspicion and diagnostic workup pointed towards lymphoma.
- Further investigations revealed an unexpected parasitic etiology.
Findings:
- The child was ultimately diagnosed with acute schistosomiasis.
- This diagnosis contrasted sharply with the initial lymphoma diagnosis.
- The case underscores the importance of considering schistosomiasis in differential diagnoses.
Implications:
- This case emphasizes the need for broader differential diagnoses in pediatric cases with non-specific symptoms.
- It highlights the potential for schistosomiasis to mimic other severe diseases like lymphoma.
- Awareness among clinicians is crucial for timely and accurate diagnosis of parasitic infections.
Abstract:
Schistosomiasis may cause diverse symptoms and it is usually not considered as a cause of disease especially in patients with normal immune system. We are reporting an eleven-year-old child who was initially diagnosed as a case of lymphoma but later on proved to be a case of acute schistosomiasis.

