Cerebral Schistosomiasis

Schistosomiasis is a cutaneously acquired, chronic, parasitic infection caused by trematode blood flukes. The organism typically infects the intestines or urinary bladder; however, rare ectopic migration to the CNS has been reported. We present a case of Schistosoma haematobium that involved the urinary bladder, kidneys, lungs, and brain, with radiologic and pathologic correlations with the cerebral disease. In our case, CNS involvement was the first manifestation of systemic schistosomiasis.