An outbreak of acute schistosomiasis occurred among a group of adventurers who took part in a rafting expedition on the Omo River in Ethiopia in November 1981. Six (55%) of the 11 members of the expedition experienced Schistosoma mansoniinfection confirmed by stool examination. Five of these six had symptoms compatible with acute schistosomiasis. Eosinophilia was the most frequent sign of infection (five of six), and fever, the most common symptom (four of six). Despite medical evaluations, illnesses had remained undiagnosed until January 1982. This outbreak should alert physicians to the risk of schistosomiasis among travelers to this part of Africa and the difficulty of correct diagnosis early in the course of the disease.
Gregory R. Istre, Robert E. Fontaine, John Tarr, Richard S. Hopkins. Acute Schistosomiasis Among Americans Rafting the Omo River, Ethiopia. JAMA. 1984;251(4):508–510. doi:10.1001/jama.1984.03340280058030