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Letters |21 May 2019

Katayama Syndrome Without Schistosoma mansoni Eggs

Marijke C.C. Langenberg, MD; Marie-Astrid Hoogerwerf, MD; Jacqueline J. Janse, MSc; Lisette van Lieshout, PhD; Paul L.A.M. Corstjens, PhD; Meta Roestenberg, MD, PhD; on behalf of the CoHSI clinical trial team *

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
This article was published at Annals.org on 8 January 2019.
*Members of the CoHSI clinical trial team who contributed to this work but did not author it are G.J. van Dam, A. van Diepen, C.J. de Dood, C. Feijt, M.S. Ganesh, H. Gerritsma, G. Hardeman, C.H. Hokke, J.P.R. Koopman, J. Kos-van Oosterhoud, Y.C.M. Kruize, P. Meij, A. Ozir-Fazalalikhan, R. van Schuijlenburg, H.H. Smits, P.H. Verbeek-Menken, L.G. Visser, J.J.C. de Vries, B.M.F. Winkel, and M. Yazdanbakhsh.
  • Leiden University Medical Center, Leiden, the Netherlands (M.C.L., M.H., J.J.J., L.V., P.L.C., M.R.)

    Financial Support: Dr. Roestenberg was supported by a Veni grant from The Netherlands Organization for Health Research and Development (ZonMW) and a Gisela Thier Fellowship from Leiden University Medical Center. Drs. Langenberg and Hoogerwerf were supported by a grant from Dioraphte Foundation. The funding sources had no role in collecting, analyzing, interpreting, or reporting the data.

    Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0438.

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Background: Katayama syndrome is a self-limited illness that occurs several weeks after infection with schistosome larvae (cercariae). Its symptoms are typical of an acute inflammatory response.
Objective: To provide insight into the cause of Katayama syndrome.
Case Report: We exposed 2 human participants to male cercariae of Schistosoma mansoni in an experimental infection that met all applicable laws and regulations, was approved by the Ethical Research Committee of Leiden University Medical Center (study P16.111), and was registered at ClinicalTrials.gov (NCT02755324).
The first patient was a healthy 24-year-old medical student with a history of hay fever and mild atopic dermatitis. We...
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Langenberg MC, Hoogerwerf M, Janse JJ, van Lieshout L, Corstjens PL, Roestenberg M, et al. Katayama Syndrome Without Schistosoma mansoni Eggs. Ann Intern Med. [Epub ahead of print 8 January 2019]170:732–733. doi: 10.7326/L18-0438

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Published: Ann Intern Med. 2019;170(10):732-733.

DOI: 10.7326/L18-0438

Published at www.annals.org on 8 January 2019

©
2019 American College of Physicians
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