Mixed Schistosoma infection in an asymptomatic patient

We report a case of a male, 26 years old Egyptian patient, who was investigated for a long-lasting hepatomegaly and altered transaminase levels. No symptom was reported. Liver biopsy and intestinal biopsy were positive for S. mansoni ova. Urine test initially showed negativity for S. haematobium ova, which only appeared with subsequent investigation, in spite of lack of urinary symptomatology.