Abstract
This article reports the rapid diagnosis by microscopy of infection with Schistoma haematobium in a recently returned Peace Corps volunteer presenting to a UK sexual clinic with lumpy semen after swimming in Lake Malawi. The article goes on to describe a morphological misdiagnosis of schistosomiasis by a pathologist who examined a biopsy specimen taken in a non-endemic area and mistook ascaris eggs for schistosome ova. The article is accompanied by snippets of medical history including the observation of live larvae by Theodor Bilharz in the 1850s, the heroic self-experimentation of Claude Barlow and ingenious Japanese experiments to work out the mode of transmission of schistosomiasis in cattle.
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