title: Acute pulmonary schistosomiasis in travelers returning from Lake Malawi, sub-Saharan Africa.
abstract: We describe four cases of acute schistosomiasis presenting to the Infectious Diseases Unit of John Radcliffe Hospital (Oxford, England) during a 2-month period in autumn 1997. All four patients had swum in Lake Malawi, a freshwater lake in sub-Saharan Africa that is associated with Schistosoma haematobium and, less commonly, Schistosoma mansoni infections. All four patients had a severe acute illness and had prominent pulmonary involvement, both clinically and radiologically. This represents a change in the recognized pattern of presentation and could possibly reflect a new parasite variant in the lake.
authors.affiliation: Nuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, England.
authors.forename: G S
authors.initials: GS
authors.lastname: Cooke
authors.forename: A
authors.initials: A
authors.lastname: Lalvani
authors.forename: F V
authors.initials: FV
authors.lastname: Gleeson
authors.forename: C P
authors.initials: CP
authors.lastname: Conlon
mesh_terms: D000208:Acute Disease; D000328:Adult; D005260:Female; D005618:Fresh Water / Q000469:parasitology*; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000209:etiology*; D008297:Male; D011223:Praziquantel / Q000627:therapeutic use; D012553:Schistosomiasis haematobia / Q000188:drug therapy / Q000209:etiology*; D012555:Schistosomiasis mansoni / Q000188:drug therapy / Q000209:etiology*; D014195:Travel
chemical_list: D011223:Praziquantel