Scand J Infect Dis 2006 ;38(6-7):572-5
Service de Médecine Interne et Maladies Infectieuses, Centre Hospitalier Général, Roanne, France.
We report a case of Schistosoma mansoni bilharziasis in a HIV patient 38 y after leaving an endemic region. A viable S. mansoni egg on a liver biopsy sample was diagnostic. Despite severe concomitant immunodeficiency the effective treatment was a single dose of praziquantel. Worms' intravascular longevity and the role of immunodeficiency as a possible factor in eggs retention after such prolonged latent schistosomiasis are discussed.