Intestinal schistosomiasis, importation of a neglected tropical disease in Romania. Case report of a traveler to endemic regions.

BACKGROUND

Schistosomiasis is the second most common parasitic disease after malaria. Imported cases of schistosomiasis are reported in nonendemic regions due to an increased number of travelers to affected geographical areas. The present case report aimed to emphasize the importance of a correct history of a patient, including information regarding travel history and its consequences, and to overview the evolution of a tropical disease diagnosed rarely in Romania.

METHODS

Retrospective analysis of a single case of imported schistosomiasis diagnosed in Timisoara, Romania.

RESULTS

A 25-year old male patient had traveled and worked abroad for a long period of time in tropical areas in Asia and South America (Brazil). The clinical pattern at admission to hospital included fever and diarrhea with multiple liquid stools with mucus. Physical examination was normal. Routine laboratory tests revealed an increased number of leucocytes.

CONCLUSIONS

Final diagnosis was established with difficulty in this case. Failure to associate a febrile prolonged syndrome or chronic diarrhea with a history of travel can cause a delayed diagnosis.