Observations on Cases of Schistosomiasis Mansoni in a Non-Endemic Area (Aruba, N.W.I.)

Abstract
Summary (1) 100 cases of schistosomiasis mansoni were found among a group of West Indians who had immigrated to Aruba which is a non-endemic area. (2) The routine use of a skin sensitivity test with a cercarial antigen and biopsy of the rectal mucosa are the most dependable ways of establishing the diagnosis of the disease. (3) It is important to consider schistosomiasis in the differential diagnosis of patients originating in areas known to be endemic for Schistosoma mansoni who present signs and symptoms pointing to a disturbance of the intestinal tract, especially with dysentery and splenic enlargement. (4) Although the period of observation (3 years) only permits a provisional opinion, it seems likely that schistosomiasis in patients not subjected to reinfestation, and living under favorable conditions is a non-progressive relatively mild condition, interfering little with the patients' general condition and working capability. Longer observation is needed to confirm this impression.

This publication has 0 references indexed in Scilit: