Article
Genital schistosomiasis mansoni concomitant to genital tumor in areas of low endemicity: challenging diagnosis
Registro en:
CAVALCANTI, Marta G. et al. Genital schistosomiasis mansoni concomitant to genital tumor in areas of low endemicity: challenging diagnosis. Braz J Infect Dis., v.15, n.2, p.174-177, 2011.
1413-8670
1678-4391
Autor
Cavalcanti, Marta G.
Gonçalves, Margareth M. I.
Barreto, Magali M.
Silva, Aline Helen da
Madi, Kalil
Peralta, José Mauro
Igreja, Ricardo P.
Resumen
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. 2030-01-01