title: Cervical schistosomiasis as a risk factor of cervical uterine dysplasia in a traveler.
abstract: Female genital schistosomiasis (FGS) may be under-recognized in endemic areas as a cause of cervical dysplasia, neoplasia, infertility, and as a facilitator of the transmission of HIV. To the best of our knowledge, few cases of FGS mimicking neoplasia have been reported in travelers. We report a clinical case of a 34-year-old white woman who presented with a severe cervical dysplasia, without any features of human papilloma virus infection, 2 years after bathing in a waterfall, a source of schistosomiasis, in Mali. Schistosomes eggs were found on the conization. Management included conization and medical treatment, resulting in a full clinical and histologic recovery. FGS should be kept in mind as a possible cause of cervical dysplasia in endemic areas. Medical treatment with praziquantel improves this condition.
authors.affiliation: Faculté de Médecine, Paris Descartes, Centre d'Infectiologie Necker Pasteur, Hôpital Necker Enfants-malades, Service des Maladies Infectieuses et Tropicales, Paris Cedex, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Dzeing-Ella
authors.forename: Frédéric
authors.initials: F
authors.lastname: Mechaï
authors.forename: Paul-Henri
authors.initials: PH
authors.lastname: Consigny
authors.forename: Laurent
authors.initials: L
authors.lastname: Zerat
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Viard
authors.forename: Marc
authors.initials: M
authors.lastname: Lecuit
authors.forename: Olivier
authors.initials: O
authors.lastname: Lortholary
mesh_terms: D000328:Adult; D000871:Anthelmintics / Q000627:therapeutic use; D005260:Female; D006801:Humans; D011223:Praziquantel / Q000627:therapeutic use; D012553:Schistosomiasis haematobia / Q000150:complications*; D002578:Uterine Cervical Dysplasia / Q000150:complications* / Q000469:parasitology* / Q000473:pathology
chemical_list: D000871:Anthelmintics; D011223:Praziquantel