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Cervical Schistosomiasis as a Risk Factor of Cervical Uterine Dysplasia in a Traveler

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  • 1 Faculté de Médecine, Paris Descartes, Centre d’Infectiologie Necker Pasteur, Hôpital Necker Enfants-malades, Service des Maladies Infectieuses et Tropicales, Paris Cedex, France; Laboratoire d’Anatomopathologie Lavergne, Paris, France

Female genital schistosomiasis (FGS) may be under-recognized in endemic areas as a cause of cervical dysplasia, neoplasia, infertility, and as a facilitator of the transmission of HIV. To the best of our knowledge, few cases of FGS mimicking neoplasia have been reported in travelers. We report a clinical case of a 34-year-old white woman who presented with a severe cervical dysplasia, without any features of human papilloma virus infection, 2 years after bathing in a waterfall, a source of schistosomiasis, in Mali. Schistosomes eggs were found on the conization. Management included conization and medical treatment, resulting in a full clinical and histologic recovery. FGS should be kept in mind as a possible cause of cervical dysplasia in endemic areas. Medical treatment with praziquantel improves this condition.