Volume s1-26, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


Summary and Conclusions

  • (1)  Two cases of acute schistosomiasis caused by S. japonicum are presented. Both showed prominent pulmonary manifestations. One patient died, apparently due to tartar emetic administered intravenously in treatment, and post-mortem examination was made.
  • (2)  The clinical manifestations of pulmonary involvement were cough with expectoration of scant mucoid sputum, chest pain, and scattered rales of no fixed type.
  • (3)  The roentgenographic appearance was that of a miliary tuberculosis. In the patient who recovered there was relatively rapid and almost complete clearance during the period of observation.
  • (4)  Pathologically the lung examined at autopsy was studded throughout with pseudo-tubercles, each about a schistosomal ovum as a nidus. In addition a large amount of alveolar exudate, including cellular elements, was present.
  • (5)  It is suggested that the pulmonary manifestations seen in the first or “incubation” stage of this disease may actually be due to the localization of ova in these tissues.


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