Cough and alterations in semen after a tropical swim

This case report describes a patient with cough and haematospermia shortly after visiting a Schistosoma endemic area. Numerous S. haematobium eggs were found in the ejaculate, while no eggs were seen in the urine.

Human oesophagostomiasis: a histomorphometric study of 13 new cases in northern Ghana

Oesophagostomiasis is an infrequently described and recognised parasitic infection in humans, caused by Oesophagostomum bifurcum. Although the disease is most often found in the northern part of Togo and the neighbouring part of Ghana, sporadic cases have been described in other parts of Africa and in Asia and South America: Uganda, Ivory Coast, Sudan, Kenya, Ethiopia, Indonesia, Malaysia and Brazil. Infection probably occurs by way of the ingestion of L3 larvae. These larvae penetrate the intestinal wall, especially that of the colon. Some of these larvae develop into young adult worms and return to the bowel lumen. Other larvae, however, develop into immature worms, which fail to settle in the lumen, forming abscesses in the bowel wall and causing pathology. In the literature 105 human cases have been described, many originating in the northern regions of Ghana and Togo. The present study was performed to evaluate 13 new cases originating in the northern part of Ghana (7 female and 6 male patients, aged between 2 and 60 years). Histopathologically, the patients could be divided into two groups: the first group showed multinodular disease, while patients in the second group presented with a single, nodular mass. In the first group, abscesses were seen throughout the colonic wall. The mean size of the cavities was 4.3+/-0.7 mm. There was no relation between the size and the localisation in the colonic wall. Abscesses were significantly larger in male patients than in female patients. There was no correlation with age. In the second group, histopathological examination showed a cyst of variable wall thickness with very limited inflammation. These cysts represented older lesions, often encapsulated in the mesentery. In conclusion, in this study we present 13 new cases of human oesophagostomiasis. The abscess formation was found to be organ specific, independent of age, and gender-related, producing a more intense tissue reaction in male patients.

Acute Schistosomiasis in Travelers Returning From Mali

Acute schistosomiasis or "Katayama syndrome" occurs in previously uninfected persons 3-6 weeks after exposure to cercaria-infested water.1,2 Many outbreaks among tourists have been reported.3-11 Such outbreaks occur because tourists are bathing or swimming in waters thought by tourist organizations to be bilharzial free. Imported schistosomiasis acquired in the Dogon country in Mali, West Africa, was first demonstrated in 1989 in three Spanish travelers;3 in 1991, an outbreak was described among Dutch travelers.7 In 1993, we investigated a similar outbreak among European and American travelers returning from the same area.

Comparative study of three immunoassays for detection of immunoglobulin M antibodies against Toxoplasma gondii

Immunoglobulin M antibodies against a major serological antigen (Mr 6 kD) were detected in human sera by indirect ELISA, antibody capture ELISA, and immunoblot test. In contrast to indirect ELISA, the immunoblot test gave no false positive reactions, not even with those sera containing a high level of rheumatoid factor. However, the immunoblot test gave false negative results with sera which gave positive results in both ELISA tests. The antibody capture ELISA gave no false negative reactions. All positive sera except one reacted specifically with Toxoplasma gondii antigens.