Rare disease
Human syngamosis: an unusual cause of chronic cough in travellers
1 Hospital Sacro Cuore - Don Calabria, Centre for Tropical Diseases, Via Don Sempreboni 5, Negrar, 37024, Italy
2 Hospital Sacro Cuore - Don Calabria, Laboratory of Parasitology, Via Don Sempreboni 5, Negrar, 37024, Italy
3 Azienda Ospedaliero-Universitaria "Ospedali Riuniti", Patologia Clinica, Via Farneto 3, Trieste, 34142, Italy
4 Casa di Cura Pineta del Carso, Pneumologia e Riabilitazione Respiratoria, Viale Stazione 26, Aurisina, Trieste, 34011, Italy
Correspondence to:
Andrea Angheben, andrea.angheben{at}sacrocuore.it
We describe a case of syngamosis in a 43-year-old Italian tourist presenting with chronic cough and episodes of haemoptysis upon return from the Caribbean. The patient underwent many diagnostic procedures and was repeatedly, yet unsuccessfully, treated (for asthma, bronchitis and gastro-oesophageal reflux disease) before the correct diagnosis was reached. During a fibre optic bronchoscopy a Y-shaped red object was extracted from the airways and identified as a pair of Mammomonogamus laryngeus. After this procedure the patient improved, although a dry cough persisted and two other minor episodes of haemoptysis occurred. The patient was treated with anti-helmintic drugs and recovered after 3 months.
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