Dzeing-Ella A, Mechaï F, Consigny PH, Zerat L, Viard JP, Lecuit M, Lortholary O
Cervical schistosomiasis as a risk factor of cervical uterine dysplasia in a traveler. [Clinical Trial, Journal Article]
Am J Trop Med Hyg 2009 Oct; 81(4):549-50.
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.
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