Schistosomiasis. Paraplegia and ectopic skin lesions as admission symptoms

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Abstract
A 33-yr-old man who was a teacher in Africa from 1966-1969 was hospitalized in Dec. 1973 for radiculomyelitis with progressive paraplegia and analgesia of the lower limbs. On his 4th day in the hospital, a pruritic, papular dermatitis appeared on both lower thoracic paraspinal areas. Microscopical examination of biopsy specimens of skin from those areas showed schistosome ova within many palisading granulomas in the dermis. The morphological features of the skin lesions, as seen by gross and microscopical examination, and the morphological and staining characteristics and the pathophysiology of the schistosome organism are discussed. The longevity of the adult worm in the portal circulation is particularly important; a long interval may elapse between the time the patient leaves the area where he became infected and the time of appearance of the lesions.

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