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Case Reports
. 2011 Oct;49(10):3703-6.
doi: 10.1128/JCM.01073-11. Epub 2011 Aug 17.

Cerebral schistosomiasis due to Schistosoma haematobium confirmed by PCR analysis of brain specimen

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Case Reports

Cerebral schistosomiasis due to Schistosoma haematobium confirmed by PCR analysis of brain specimen

Kentaro Imai et al. J Clin Microbiol. 2011 Oct.

Abstract

The case of a 25-year-old Japanese male who had cerebral schistosomiasis caused by Schistosoma haematobium is reported here. Although serum antibody tests showed a cross-reaction with other helminths and no ova were excreted in urine or feces, the existence of Schistosoma haematobium in the brain was confirmed by PCR analysis.

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Figures

Fig. 1.
Fig. 1.
T1-weighted MRI scan with enhancement, obtained at admission, showed tumor-like lesions in the left parietal lobe with the presence of edema.
Fig. 2.
Fig. 2.
(a) Photomicrograph showing nodular granulomas within the parenchyma of the brain containing deposits of S. haematobium ova in the center of the granulomas (hematoxylin-eosin stained; magnification, ×100). (b) Ova of S. haematobium with a characteristic prominent terminal spine (hematoxylin-eosin stained; magnification, ×400).
Fig. 3.
Fig. 3.
PCR assay for Schistosoma haematobium and S. mansoni. M, marker; lanes 1 and 5, S. mansoni DNA; lanes 2 and 6, S. haematobium DNA; lanes 3 and 7, patient DNA; lanes 4 and 8, no DNA; lanes 1 to 4, S. mansoni-specific 121-bp tandem repeat sequence; lanes 5 to 8, S. haematobium-specific DraI sequence.

References

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