Genital schistosomiasis mansoni concomitant to genital tumor in areas of low endemicity: challenging diagnosis

Brazilian Journal of Infectious Diseases

Gonçalves, Margareth MI⁴  Igreja, Ricardo P²  Cavalcanti, Marta G¹  Barreto, Magali M³  Peralta, José Mauro⁴  Madi, Kalil⁴  Silva, Aline Helen da⁴ 

[1] Universidade Federal do Rio de Janeiro, Brazil;UFRJ, Brazil;FIOCRUZ, Brazil;UFRJ

关键词: S. mansoni;    female genital infection;    serology;    low endemic area.;   

DOI  :  10.1590/S1413-86702011000200016

来源: Contexto

【 摘 要 】

Genital infection by Schistosoma mansoni is usually misdiagnosed in individuals who reside in, or travel to endemic areas. We describe two cases of genital tumor associated with S. mansoni infection manifested by methrorragy. Surgical specimens revealed leiomyomas in both cases associated with S. mansoni. In one of them, granulomas were found in the ovary and in the other they were found in the uterine tube. Although none presented intestinal/hepatic disease, fecal egg excretion was detected in one. Both had elevated pretreatment antibody reactivity to S. mansoni antigen, but follow-up showed different outcomes. Schistosomiasis should be considered as a diagnosis in individuals with methrorragy residing in or having traveled to endemic areas. Since diagnosis follows genital amputation, and cure control is troublesome, improvement of diagnostic tools and follow-up markers are important priorities to decrease schistosomiasis morbidity.

【 授权许可】

CC BY-NC-ND