Prolonged latent schistosomiasis diagnosed 38 years after infestation in a HIV patient.
We report a case of Schistosoma mansoni bilharziasis in a HIV patient 38 y after leaving an endemic region. A viable S. mansoni egg on a liver biopsy sample was diagnostic. Despite severe concomitant immunodeficiency the effective treatment was a single dose of praziquantel. Worms' intravascular longevity and the role of immunodeficiency as a possible factor in eggs retention after such prolonged latent schistosomiasis are discussed.
Payet
Barry
B
Service de Médecine Interne et Maladies Infectieuses, Centre Hospitalier Général, Roanne, France. barry.payet3@tiscali.fr
Chaumentin
Gilles
G
Boyer
Michelle
M
Amaranto
Paula
P
Lemonon-Meric
Claire
C
Lucht
Frederic
F
D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000008:administration & dosage; D001707:Biopsy, Needle; D005602:France; D006679:HIV Seropositivity / Q000175:diagnosis*; D006801:Humans; D008099:Liver / Q000469:parasitology*; D008297:Male; D011223:Praziquantel / Q000008:administration & dosage; D012555:Schistosomiasis mansoni / Q000175:diagnosis* / Q000188:drug therapy; D013997:Time Factors
D000871:Anthelmintics; D011223:Praziquantel