Schistosoma mansoniin Family 5 Years after Safari

Valerianna Amorosa,Timothy Flanigan,Scott Kasner,Emily Blumberg,Kevin Judy,Daniel Kremens,Martin S Wolfe,Kevin M Cahill

doi:10.3201/eid1102.040600

Abstract

<i>Schistosoma mansoni</i>in Family 5 Years after Safari

Highlights

To the Editor: Each year ≈350,000 Americans travel to Africa and ≈500,000 travel to Brazil and the Far East, all schistosomiasis-endemic regions
We report a 38-year-old American man with ectopic S. mansoni fluke migration that led to neural schistosomiasis
Biopsy of a large cerebellar lesion noted on magnetic resonance imaging (MRI) was diagnostic, yielding multiple S. mansoni ova within large eosinophilic granulomas, consistent with tumoral neuroschistosomiasis

Summary

Introduction

To the Editor: Each year ≈350,000 Americans travel to Africa and ≈500,000 travel to Brazil and the Far East, all schistosomiasis-endemic regions. We report a 38-year-old American man with ectopic S. mansoni fluke migration that led to neural schistosomiasis. His symptoms prompted us to test family members who had accompanied him on a trip to Kenya 5 years earlier. We tested 24 of 25 family members who had accompanied him to Kenya for schistosomiasis (Figure).

Results

Conclusion