False-positive reactions in the serological diagnosis of schistosomiasis.

Stool and urine samples from children living in an area in the Western Transvaal in which human schistosomiasis was not endemic were examined for parasites and the indirect fluorescent antibody test was performed on their sera. Since none of these children passed any schistosome ova in their excreta but approximately half of them had a positive serological reaction they must have been infected with either Schistosoma mattheei, which is common in snails and cattle in the area, or avian schistosomes. In view of the occurrence of such 'false-positive' results, general practitioners are advised not to rely too heavily on serological tests in the diagnosis of schistosomiasis.