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Open Access Highly Accessed Research article

A study on cercarial dermatitis in Khuzestan province, south western Iran

Ali Farahnak1* and Mostafa Essalat2

Author Affiliations

1 Department of Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, 6446-14155, Tehran, Iran

2 Department of Pathology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

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BMC Public Health 2003, 3:35  doi:10.1186/1471-2458-3-35

Published: 7 November 2003

Abstract

Background

Cercarial dermatitis' or swimmer's itch' is an itchy inflammatory response to the penetration of the skin by non-human schistosome parasites. In the hot season, (May to September) in Khuzestan province in the south west of Iran, swimming in canals and agriculture activities in swampy areas are common. This survey was made on people from villages north of Ahwaz city in south west Iran, to estimate cercarial dermatitis in this region.

Methods

2000 people were observed for clinical signs of cercarial dermatitis. Also 2000 Lymnaea gedrosiana snails were collected from agriculture canals and examined for animal schistosome cercariae during 1998–2000.

Results

From this survey 1.1% of people had pruritic maculopapular rash on their feet, hands or other parts of body. From the total of examined snails, 2.4% were found to be infected with bird schistosome cercariae including Trichobilharzia species.

Conclusion

Cercarial dermatitis could be a health problem in this area. This is the first report of cercarial dermatitis from this region of Iran.

Keywords:
Cercarial dermatitis; bird schistosomes; Iran