Cervical schistosomiasis as a risk factor of cervical uterine dysplasia in a traveler.
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.
Dzeing-Ella
Arnaud
A
Faculté de Médecine, Paris Descartes, Centre d'Infectiologie Necker Pasteur, Hôpital Necker Enfants-malades, Service des Maladies Infectieuses et Tropicales, Paris Cedex, France.
Mechaï
Frédéric
F
Consigny
Paul-Henri
PH
Zerat
Laurent
L
Viard
Jean-Paul
JP
Lecuit
Marc
M
Lortholary
Olivier
O
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
D000871:Anthelmintics; D011223:Praziquantel