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Acute Schistosomiasis in Nonimmune Travelers: Chest CT Findings in 10 Patients

¹ Department of Radiology, University of California, San Diego Medical Center, Mail Code 8756, 200 W. Arbor Dr., San Diego, CA 92103.
² Department of Medicine, University of California, San Diego Medical Center, San Diego, CA 92103.

OBJECTIVE. We describe the findings of unenhanced chest CT in 10 patients with acute schistosomiasis.

CONCLUSION. Despite the absence of pulmonary symptoms in four individuals, all patients had parenchymal abnormalities. Small pulmonary nodules were the most common finding, identified in nine patients. These nodules ranged in size from 2 to 5 mm in five patients, with larger nodules ranging up to 15 mm seen in four patients. In one patient, the only parenchymal abnormality was a single 5-mm focus of ground-glass attenuation. No relationship was seen between either the presence of pulmonary symptoms or the presence of peripheral eosinophilia and the severity of parenchymal disease. No additional significant findings were identified.

Keywords: chest • CT • infectious diseases • lung diseases • schistosomiasis

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