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Myocarditis during Acute Schistosomiasis in Two Travelers

Loïc EpelboinDepartment of Medicine, Centre Hospitalier de Mayotte, Mayotte Island, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Department of Cardiology, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, Paris, France

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Stéphane JauréguiberryDepartment of Medicine, Centre Hospitalier de Mayotte, Mayotte Island, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Department of Cardiology, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, Paris, France

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Jean-Baptiste EstèveDepartment of Medicine, Centre Hospitalier de Mayotte, Mayotte Island, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Department of Cardiology, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, Paris, France

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Martin DanisDepartment of Medicine, Centre Hospitalier de Mayotte, Mayotte Island, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Department of Cardiology, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, Paris, France

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Michel KomajdaDepartment of Medicine, Centre Hospitalier de Mayotte, Mayotte Island, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Department of Cardiology, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, Paris, France

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François BricaireDepartment of Medicine, Centre Hospitalier de Mayotte, Mayotte Island, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Department of Cardiology, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, Paris, France

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Eric CaumesDepartment of Medicine, Centre Hospitalier de Mayotte, Mayotte Island, France; Department of Infectious and Tropical Disease and Parasitology-Mycology, Department of Cardiology, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, Paris, France

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We report two cases of myocarditis complicating acute schistosomiasis in returning travelers. Treatment with corticosteroids led to full recovery in both cases. Although the pathophysiology of this complication remains unclear, we recommend treating such patients with corticosteroids rather than praziquantel, which can be associated with clinical deterioration.

Author Notes

*Address correspondence to Loïc Epelboin, Service de Médecine, Centre Hospitalier de Mayotte, 97600 Mamoudzou, Mayotte Island, France. E-mail: epelboincrh@hotmail.fr

Authors' addresses: Loïc Epelboin, Service de Médecine, Centre Hospitalier de Mayotte, Mayotte Island, France, E-mail: epelboincrh@hotmail.fr. Stéphane Jauréguiberry, Martin Danis, François Bricaire, and Eric Caumes, Département des Maladies Infectieuses, Tropicales et Parasitaires, Assistance Publique des Hôpitaux de Paris, Paris, France, E-mails: stephane.jaureguiberry@psl.aphp.fr, martin.danis@psl.aphp.fr, francois.bricaire@psl.aphp.fr, and eric.caumes@psl.aphp.fr. Jean-Baptiste Estève and Michel Komajda, Département de Cardiologie, Assistance Publique des Hôpitaux de Paris, Paris, France, E-mails: jb_esteve@hotmail.com and michel.komajda@psl.aphp.fr.

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