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[Urinary schistosomiasis: remarks on a case]
F Scarlata1, S Giordano, A Romano
1Istituto di Patologia Infettiva e Virologia-Universita di Palermo, Palermo, Italy.
Le Infezioni in Medicina
|January 3, 2006
Summary
Urinary tract schistosomiasis, caused by Schistosoma haematobium, presents risks in non-endemic areas. Early diagnosis and Praziquantel treatment are effective for this bladder infection.
Area of Science:
- Tropical medicine
- Parasitology
- Urology
Context:
- Urinary tract schistosomiasis (UTS) affects millions globally, primarily in Africa, the Middle East, and India.
- While rare in Italy, UTS can occur in immigrants from endemic regions and returning travelers.
- The disease stems from Schistosoma haematobium infection, causing bladder lesions.
Purpose:
- To report a case of urinary tract schistosomiasis in a recent immigrant to Italy.
- To highlight the clinical presentation, diagnosis, and successful treatment of UTS.
- To emphasize the potential risk of schistosomiasis introduction in non-endemic regions.
Summary:
- A 26-year-old man from Ghana presented with hemorrhagic cystitis, a symptom of UTS.
- Diagnostic procedures, including cystoscopy, biopsy, and urine microscopy, confirmed Schistosoma haematobium eggs.
- Treatment with Praziquantel (40 mg/Kg) proved effective.
Impact:
- This case underscores the importance of considering parasitic infections in individuals with relevant travel or immigration history.
- It highlights the potential for schistosomiasis establishment in regions with suitable intermediate hosts and climate.
- Effective management with Praziquantel offers a successful therapeutic option for UTS.