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Case Reports
. 2023 Sep 29;38(1):524.
doi: 10.4102/sajid.v38i1.524. eCollection 2023.

A case of pericardial schistosomiasis and non-Hodgkin high grade B-cell lymphoma

Affiliations
Case Reports

A case of pericardial schistosomiasis and non-Hodgkin high grade B-cell lymphoma

Michael J Boyd et al. S Afr J Infect Dis. .

Abstract

Chronic schistosomiasis affects either the genitourinary or gastrointestinal tract. Rarely, schistosomes cause ectopic disease, such as in the case of a South African woman from a non-endemic province, who presented with suspected pericardial tamponade because of tuberculosis. However, histology and polymerase chain reaction from pericardial biopsy confirmed Schistosoma haematobium. A finding of mediastinal non-Hodgkin lymphoma came to light when our patient's clinical condition unexpectedly deteriorated.

Contribution: This case highlights an unusual manifestation of schistosomiasis.

Keywords: Schistosoma haematobium; non-Hodgkin lymphoma; pericardial effusion; pericardial schistosomiasis; schistosomiasis.

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Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

Figures

FIGURE 1
FIGURE 1
Schistosoma ova: (a) Non-viable ova, 400 × magnification, (b) viable ova, 400 × magnification.
FIGURE 2
FIGURE 2
Ziehl-Neelsen Stain: (a) 400 × magnification, (b) > 400 magnification showing acid fast positivity and terminal spine, suggestive of S. haematobium.

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