Nodular Lung Schistosomiais Lesions after Chemotherapy for Dysgerminoma

Miguel de Górgolas Division of Infectious Diseases, Medical Oncology Department, and Pathology Department, Fundación Jiménez Díaz, Madrid, Spain

Search for other papers by Miguel de Górgolas in
Current site
Google Scholar
PubMed
Close
,
Victoria Casado Division of Infectious Diseases, Medical Oncology Department, and Pathology Department, Fundación Jiménez Díaz, Madrid, Spain

Search for other papers by Victoria Casado in
Current site
Google Scholar
PubMed
Close
,
Guadalupe Renedo Division of Infectious Diseases, Medical Oncology Department, and Pathology Department, Fundación Jiménez Díaz, Madrid, Spain

Search for other papers by Guadalupe Renedo in
Current site
Google Scholar
PubMed
Close
,
José Fortes Alen Division of Infectious Diseases, Medical Oncology Department, and Pathology Department, Fundación Jiménez Díaz, Madrid, Spain

Search for other papers by José Fortes Alen in
Current site
Google Scholar
PubMed
Close
, and
Manuel L. Fernández Guerrero Division of Infectious Diseases, Medical Oncology Department, and Pathology Department, Fundación Jiménez Díaz, Madrid, Spain

Search for other papers by Manuel L. Fernández Guerrero in
Current site
Google Scholar
PubMed
Close
Restricted access

We report an unusual case of pulmonary schistosomiasis in a traveler to Mali that was diagnosed 16 months after primary infection, one month after she finished chemotherapy for a malignant tumor. Serologic analysis showed marked eosinophilia. Our case emphasizes the need to detect parasitic infections in cancer patients with unexplained eosinophilia, particularly in immigrants and travelers to tropical countries.

Author Notes

  • 1

    Ross AG, Bartley PB, Sleigh AC, Olds GR, Yuesheng L, Williams GM, McManus DP, 2002. Schistosomiasis. N Engl J Med 346 :1212–1220.

  • 2

    Karanja DM, Colley DG, Nahlen BL, Ouma JH, Secor WE, 1997. Studies on schistosomiasis in western Kenya: I. Evidence for immune-facilitated excretion of schistosome eggs from patients with Schistosoma mansoni and human immunodeficiency virus coinfection. Am J Trop Med Hyg 56 :515–521.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Montes M, White C, Kontoyiannis D, 2004. Symptoms of intestinal schistosomiasis presenting during treatment of large B cell lymphoma. Am J Trop Med Hyg 71 :552–553.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Fernando R, Miller R, 2002. Immune reconstitution eosinophilia due to schistosomiasis. Sex Transm Infect 78 :76.

  • 5

    de Silva S, Walsh J, Brown M, 2006. Symptomatic Schistosoma mansoni infection as an immune restoration phenomenon in a patient receiving antiretroviral therapy. Clin Infect Dis 42 :303–304.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    Javid B, Aliyu SH, Save VE, Carmaichel AJ, Lever AM, 2007. Schistosomal colonic polyposis in an HIV-positive man. AIDS 21 :386–388.

  • 7

    Glefand M, 1966. Pulmonary schistosomiasis in the early “Katayama” phase of disease. J Trop Med Hyg 69 :143–145.

  • 8

    Cooke GS, Lalvani A, Gleeson FV, Conlon CP, 1999. Acute pulmonary schistosomiasis in travelers returning from Lake Malawi, sub-Saharan Africa. Clin Infect Dis 29 :836–839.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Rocha MO, Rocha RL, Pedroso ER, Greco DB, Ferrerira CS, Lambertucci JR, Katz N, Rocha RS, Rezende DF, Neves J, 1995. Pulmonary manifestation in the initial phase of Schistosomiasis mansoni. Rev Inst Med Trop Sao Paulo 37 :311–318.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Hiatt RA, Sottomeyer ZR, Sanchez G, Zambrana M, Knight WB, 1979. Factors in the pathogenesis of acute Schistosomiasis mansoni. J Infect Dis 139 :659–666.

  • 11

    Hiatt RA, Otteson EA, Sottomeyer ZR, Lawley TJ, 1980. Serial observation of circulating immune complex in patients with acute schistosomiasis. J Infect Dis 142 :665–666.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Sharma OP, Bethlem EP, 1996. The pulmonary infiltration with eosinophilia syndrome. Curr Opin Pulm Med 2 :380–389.

  • 13

    Waldman AD, Day JH, Shaw P, Bryceson AD, 2001. Subacute pulmonary granulomatous schistosomiasis: high resolution CT appearances-another cause of the halo sign. Br J Radiol 74 :1052–1055.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    Abdel-Hakim M, Elwi AM, 1963. Bronchopulmonary schistosomiasis: report of a case. Dis Chest 43 :317.

  • 15

    Woodruff AG, Wright SG, 1984. Medicine in the Tropics. Second edition. Edinburgh: Churchill Livingstone.

    • PubMed
    • Export Citation
  • 16

    Jordan P, Webbe G, 1969. Human Schistosomiasis. London: Heinemann.

  • 17

    Damluji SF, Al-Khouri M, Johnstone RM, 1964. Cor pulmonale due to chronic infestation with S. haematobium. J Trop Med Hyg 67 :220.

  • 18

    Andrade ZA, Andrade SG, 1970. Pathogenesis of schistosomal pulmonary arteritis. Am J Trop Med Hyg 19 :305–310.

  • 19

    Bethlem EP, Schettino GD, Carvalho CR, 1997. Pulmonary schistosomiasis. Curr Opin Pulm Med 3 :361–365.

  • 20

    Schaberg T, Rahn W, Racz P, Lode H, 1991. Pulmonary schistosomiasis resembling acute pulmonary tuberculosis. Eur Respir J 4 :1023–1026.

  • 21

    Ranque S, Gazin P, Delmont J, 2004. Schistosomiasis and tourism in the Dogon country, Mali. Med Trop 64 :31–32.

  • 22

    Pérignon A, Pelicot M, Consigny PH, 2007. Genital schistosomiasis in a traveler coming back from Mali. J Travel Med 14 :197–199.

  • 23

    Alonso D, Muñoz J, Gascón J, Valls MA, Corachán M, 2006. Failure of standard treatment with praziquantel in two returned travelers with Schistosoma haembatobium infection. Am J Trop Med Hyg 74 :342–344.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24

    Kouriba B, Traoré HA, Dabo A, Sangare L, Guindo H, Keita AS, Reimert CM, van Dam DJ, Seelder AM, Doumbo O, Dessein AJ, 2005. Urinary disease in 2 Dogon populations with different exposure to Schistosoma haematobium infection: progression of bladder and kidney diseases in children and adults. J Infect Dis 192 :2152–2159.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 74 30 3
Full Text Views 280 8 0
PDF Downloads 50 6 0
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save