Case Report

A case of pericardial schistosomiasis and non-Hodgkin high grade B-cell lymphoma

Michael J. Boyd, Marc Mendelson, Sipho K. Dlamini, Sean Wasserman, Ghaalied Fakier, Riyaadh Roberts, Nectarios S. Papavarnavas
Southern African Journal of Infectious Diseases | Vol 38, No 1 | a524 | DOI: https://doi.org/10.4102/sajid.v38i1.524 | © 2023 Michael James Boyd, Marc Mendelson, Sipho Kenneth Dlamini, Sean Wasserman, Ghaalied Fakier, Riyaadh Roberts, Nectarios Sophocles Papavarnavas | This work is licensed under CC Attribution 4.0
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 Africa
Marc 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.


Keywords

schistosomiasis; pericardial schistosomiasis; Schistosoma haematobium; non-Hodgkin lymphoma; pericardial effusion

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