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Acute schistosomiasis: report on five singular cases

J R Lambertucci1, A A Rayes, C H Barata

  • 1Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

Memorias Do Instituto Oswaldo Cruz
|May 5, 1998
PubMed
Summary

This study details five unusual acute schistosomiasis mansoni cases. Manifestations included skin lesions, lung issues, and a Staphylococcus aureus liver abscess, highlighting diverse clinical presentations.

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Area of Science:

  • Infectious Diseases
  • Parasitology
  • Clinical Medicine

Background:

  • Schistosomiasis mansoni is a parasitic disease caused by flatworms of the Schistosoma genus.
  • Acute schistosomiasis mansoni typically presents with fever, rash, and eosinophilia.
  • Unusual or atypical presentations can complicate diagnosis and management.

Observation:

  • This paper reports on five patients with uncommon acute schistosomiasis mansoni manifestations.
  • One patient presented with distinct dermatological symptoms.
  • Three patients exhibited varied pulmonary involvement.
  • A single patient developed a pyogenic liver abscess attributed to Staphylococcus aureus.

Findings:

  • The described cases expand the known spectrum of clinical presentations for acute schistosomiasis mansoni.

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  • The occurrence of a bacterial liver abscess in conjunction with schistosomiasis is noteworthy.
  • Diverse organ systems can be affected, including the skin, lungs, and liver.

    • Implications:

    • Clinicians should consider schistosomiasis mansoni in the differential diagnosis of unexplained febrile illnesses with diverse organ involvement.
    • Awareness of atypical presentations is crucial for timely and accurate diagnosis.
    • Further research into the pathogenesis of unusual schistosomiasis mansoni manifestations may be warranted.