We, and other members of the Swedish national group for recommendations on malaria prophylaxis,22 therefore consider doxycycline at least as safe as mefloquine for use as malaria prophylaxis during early pregnancy. This will add doxycycline

as a choice for pregnant women, especially for those who do not tolerate mefloquine or who travel to areas with resistance to mefloquine. The authors state that they have no conflicts of interest to declare. “
“Schistosoma haematobium infection is mainly associated with urinary schistosomiasis. Here, we describe two cases of S haematobium infection in workers returning to China from Tanzania and Angola. They had hematuria and were misdiagnosed as having tuberculosis or tumor of the bladder. The diagnosis was established by discovery of eggs in the urine. Schistosoma haematobium is an important zoonotic parasite associated mainly with urinary schistosomiasis. Infection in humans Opaganib occurs by skin contact with cercaria-contaminated freshwater during swimming, fishing, and bathing. The find more cercariae burrow into the skin and enter the blood stream of the host where they migrate to the sinusoids of liver to mature into adults. Then, they migrate from that organ and reach the vesical, prostatic, and uterine plexuses by way of the hemorrhoidal veins. Eggs deposited by them in the wall of the urinary bladder and other

organs may cause a granulomatous response Branched chain aminotransferase in the host. The main clinical manifestations of S haematobium infection are hematuria, urinal tract blockages, and fibrosis of the bladder.[1] Schistosoma haematobium infection is endemic to 53 countries and is confined to Africa, the Middle East, India, and Portugal. With economic globalization and rapid development of tourism, the movement of population has become increasingly frequent, which has made possible the spread of this infection to nonendemic countries. In England, France, Italy, Germany, Israel, Denmark, and the

Netherlands, imported schistosomiasis haematobium has been happening for decades.[2-5] However, it is a relatively recent phenomenon in China and other Asian countries.[6] In Africa, it is estimated that there are about 1 million Chinese workers employed mainly in building, water supplying, oil exploiting, and road paving.[7, 8] But, the knowledge of African diseases is lacking among Chinese workers, as well their physicians. As a result, when they are exposed in Africa and present clinical manifestations after returning to China, they are often misdiagnosed. From 2005 to 2009, 17 imported falciparum malaria cases (with one death) in workers returning to Henan Province of China from Africa were misdiagnosed for more than 1 week.[9] In this article, we report two imported cases of S haematobium infection in workers returning to China from Tanzania and Angola.