The authors report on an outbreak of Schistosoma mansoni infestation involving 113 military men who had been contaminated together in a tributary of the Chari river in the Central African Republic. The patients were examined on their return to France 50 days after being contaminated and were compared with a control group of 25 subjects who had lived in Africa under the same conditions but were exempt of bilharziasis. All were subjected to a retrospective questionnaire, physical examination, examination of the faeces and serological test for bilharziasis by indirect haemoagglutination. All received two courses of praziquantel. Follow-up serology was performed after 1 year in 86 cases. The results of this study in both groups are presented and commented upon. With intestinal bilharziasis, prophylaxis against contamination is extremely difficult to carry out in endemic areas among people who visit and work "on the spot". Detection by routine serology must be performed upon return.

Adult↗

PubMedDate not supplied

[The eosinophilic lung].

Infiltration of the pulmonary parenchyma by eosinophils is revealed in bronchoalveolar washings. Associated with pulmonary biopsy, this technique has renewed the approach to a classical syndrome. Pulmonary infiltration eosinophilia has multiple etiologies: some are well characterized (parasitic or medicinal), some others pose some nosological or etiopathogenic problems not yet clarified (chronic pulmonary infiltration eosinophilia, vasculitis of the lung). In such difficult cases, use of surgical pulmonary biopsies has to be envisaged.

Biopsy↗

PubMedDate not supplied

[Relapse of an amebic abscess of the liver after treatment with metronidazole].

The authors report the observation of a twenty four years old soldier; subsequent to a stay in an endemic amoebic area, he showed several successive dysenteric episodes which were treated with metronidazole despite the absence of amoeba in the coprological examination. During one of these episodes, he presented a single rectal ulceration, then a hepatic abscess was observed four months later. The patient was treated with metronidazole and by contact amoebicides. In spite of that, amoeba were disclosed after a parasitological stool examination.

Adult↗

PubMedDate not supplied

[Visceral amebiasis].

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Amebiasis↗