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November 2, 1963

Schistosomiasis in American Tourists

Author Affiliations

New York

From the Department of Preventive Medicine, New York University School of Medicine.

JAMA. 1963;186(5):453-457. doi:10.1001/jama.1963.03710050027003

Schistosomiasis is not entirely unknown to those in practice in this country. However, the principal association in the mind of the physician is almost entirely limited to its occurrence in Puerto Ricans, although following World War II there was a flurry of activity relative to schistosomiasis japonica acquired in the Philippines. The present report deals with three cases of schistosomiasis mansoni acquired in the course of a Caribbean vacation and one of Schistosomiasis haematobium acquired by a student during a trip around the world. (Schistosomiasis acquired by American tourists is being recorded for the first time.) The clinical aspects in each case were compatible with a diagnosis of schistosomiasis. However, no consideration was given to this as a possibility and as a result there was considerable delay in diagnosis and initiation of treatment. Emphasis is placed on the importance of global pathology in the evaluation of disease of travelers. The clinical aspects and treatment are presented.