Cervical schistosomiasis as a risk factor of cervical uterine dysplasia in a traveler

Am J Trop Med Hyg. 2009 Oct;81(4):549-50. doi: 10.4269/ajtmh.2009.08-0498.


Female genital schistosomiasis (FGS) may be under-recognized in endemic areas as a cause of cervical dysplasia, neoplasia, infertility, and as a facilitator of the transmission of HIV. To the best of our knowledge, few cases of FGS mimicking neoplasia have been reported in travelers. We report a clinical case of a 34-year-old white woman who presented with a severe cervical dysplasia, without any features of human papilloma virus infection, 2 years after bathing in a waterfall, a source of schistosomiasis, in Mali. Schistosomes eggs were found on the conization. Management included conization and medical treatment, resulting in a full clinical and histologic recovery. FGS should be kept in mind as a possible cause of cervical dysplasia in endemic areas. Medical treatment with praziquantel improves this condition.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Anthelmintics / therapeutic use
  • Female
  • Humans
  • Praziquantel / therapeutic use
  • Schistosomiasis haematobia / complications*
  • Uterine Cervical Dysplasia / complications*
  • Uterine Cervical Dysplasia / parasitology*
  • Uterine Cervical Dysplasia / pathology


  • Anthelmintics
  • Praziquantel