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Case Report
A case of pericardial schistosomiasis and non-Hodgkin high grade B-cell lymphoma
Submitted: 06 March 2023 | Published: 29 September 2023
About the author(s)
Michael J. Boyd, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaMarc Mendelson, Division of Infectious Diseases & HIV Medicine, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town and Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Sipho K. Dlamini, Division of Infectious Diseases & HIV Medicine, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town and Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Sean Wasserman, Division of Infectious Diseases & HIV Medicine, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town; Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town and Wellcome Centre for Infectious Diseases Research in Africa, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Ghaalied Fakier, Division of Anatomical Pathology, Department of Pathology and National Health Laboratory Services, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Riyaadh Roberts, Division of Anatomical Pathology, Department of Pathology and National Health Laboratory Services, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Nectarios S. Papavarnavas, Division of Infectious Diseases & HIV Medicine, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town and Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Abstract
Chronic schistosomiasis affects either the genitourinary or gastrointestinal tract. Rarely, schistosomes cause ectopic disease, such as in the case of a South African woman from a non-endemic province, who presented with suspected pericardial tamponade because of tuberculosis. However, histology and polymerase chain reaction from pericardial biopsy confirmed Schistosoma haematobium. A finding of mediastinal non-Hodgkin lymphoma came to light when our patient’s clinical condition unexpectedly deteriorated.
Contribution: This case highlights an unusual manifestation of schistosomiasis.
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Crossref Citations
1. Schistosomiasis with pericardial effusion
Elaf Khalid Bajameel, Arifa Jamal, Asem Osama Banjar, Khalid Mohammed Alqahtani, Noura Babikir Ahmed Elsheikh, Arwa Hussain Alkhuraim
European Journal of Case Reports in Internal Medicine vol: 12 issue: 4 year: 2025
doi: 10.12890/2025_005201
2. Pleural Effusion with Schistosoma ova in Cytologic Smears: A Rare Case Report in an Elderly Patient
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Acta Cytologica first page: 1 year: 2026
doi: 10.1159/000551685