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Diagnosis of Schistosomiasis-Reply

Robert E. Fontaine, MD; Gregory R. Istre, MD
JAMA. 1985;253(13):1879-1880. doi:10.1001/jama.1985.03350370059020.
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In Reply.—  In our report of an outbreak of acute Schistosomiasis mansoni, we refrained from suggesting that the syndrome of acute schistosomiasis also occurred with S haematobium because we were not convinced that infection with this species either causes or is simply coincident with the syndrome. Generally, reports of acute schistosomiasis in association with S haematobium infection are rare.1 Typically, they concern persons suffering from a protean illness who also have S haematobium ova in their urine and an eosinophilia. In contrast, intense outbreaks of disease among individuals unaware of this potential problem who have had recent, brief, common-source exposures are reported for both S mansoni and S japonicum.A recent report of two cases of transverse myelitis within an outbreak of acute Schistosomiasis mansoni emphasizes Dr Zilberg's concern over serious manifestations of acute infection.2 However, we have not had a similarly poor experience with stool or urine examination


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