Case report: Schistosoma mansoni and Fasciola spp. co-infection

We report an imported case of co-infection with fascioliasis and schistosomiasis in a 37-year-old patient with no known medical history, originally from Djibouti, a country in sub-Saharan East Africa. The diagnosis was confirmed by the detection of Schistosoma ova, suggestive clinical symptoms, positive serologies to both fascioliasis and schistosomiasis, and the atypical appearance of hepatic lesions on MRI. The patient was in France as a tourist. He was treated with a dual therapy of triclabendazole and praziquantel. His clinical condition improved without treatment-related side effects. This case highlights the necessity to search for these two parasitic infections in the presence of suggestive liver involvement, particularly in case of epidemiological risk.