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- Title
Placental Schistosoma haematobium infection in a German returnee from Malawi.
- Authors
Schleenvoigt, B.; Gajda, M.; Baier, M.; Groten, T.; Oppel-Heuchel, H.; Grimm, M.; Pfister, W.; Richter, J.; Pletz, M.
- Abstract
Schistosomiasis is a widespread helminthic infection which sometimes may affect travelers to endemic areas. We report on a case of urogenital and placental schistosomiasis in a 28-year-old German woman who had been exposed to schistosomiasis in Lake Malawi one year earlier. She experienced painless macrohaematuria in her 21st week of pregnancy. Cystoscopy revealed vesical lesions typical for urogenital schistosomiasis. Histopathology confirmed ova of Schistosoma (S .) haematobium. The patient was treated with praziquantel 40 mg/kg/body weight/day for 3 days. After 285 days of gestation and 18 weeks post treatment, the patient delivered a healthy girl. Histopathology of placenta revealed eggs of S. haematobium in placental stroma. The infant proved negative for anti- Schistosoma spp. antibodies at the age of 15 months. This is the first report on placental schistosomiasis since 1980 and the first case occurring in a traveler.
- Subjects
GERMANY; MALAWI; DIAGNOSIS of placenta diseases; SCHISTOSOMIASIS diagnosis; ISOQUINOLINE; HEMATURIA; EVALUATION of medical care; SCHISTOSOMIASIS; TRAVEL; TREMATODA; PREGNANCY; THERAPEUTICS
- Publication
Infection, 2014, Vol 42, Issue 6, p1061
- ISSN
0300-8126
- Publication type
Report
- DOI
10.1007/s15010-014-0684-3