UNASSIGNED: We describe the case of a 26-year-old asthmatic male, who presented with systemic symptoms including fever, myalgia, night sweats as well as gastro-intestinal and pulmonary complaints since five days. At presentation, there was a raised blood eosinophil count and nodular lesions were seen on computed tomography. After considering diagnoses such as tuberculosis, vasculitis and hypereosinophilic syndrome, it was repeated history taking that revealed that the patient had suffered from swimmer\'s itch during a stay in Guinea. A stool sample showed microscopic presence of Schistosoma mansoni eggs, confirming the diagnosis of Katayama syndrome. The patient was treated with tapered corticosteroids to suppress the hypersensitivity reaction and praziquantel was added to cure the parasitic infection. This led to a complete resolution of the patients\' symptoms and radiological abnormalities. Negative stool samples confirmed the eradication of the schistosomes.
UNASSIGNED: Swimmer\'s itch and Katayama syndrome are manifestations of acute schistosomiasis. It is important to recognize the syndrome, because early diagnosis and adequate treatment can prevent chronic disease and significant morbidity.
■我们描述了一个26岁的哮喘男性,出现全身症状包括发烧,肌痛,自五天以来,盗汗以及胃肠道和肺部不适。在介绍时,血液嗜酸性粒细胞计数升高,计算机断层扫描发现结节性病变.在考虑结核病等诊断后,血管炎和嗜酸性粒细胞增多综合征,反复的历史记录显示患者在几内亚逗留期间患有游泳者的瘙痒。粪便样本显示显微镜下存在曼氏血吸虫卵,确认Katayama综合征的诊断。患者接受锥形皮质类固醇治疗以抑制超敏反应,并加入吡喹酮治疗寄生虫感染。这导致完全缓解患者的症状和放射学异常。阴性粪便样本证实了血吸虫的根除。
■游泳瘙痒和片山综合征是急性血吸虫病的表现。认识到这种综合症很重要,因为早期诊断和适当的治疗可以预防慢性疾病和显著的发病率。