[Urinary amebiasis: a parasitosis of exceptional presentation]

We report a case of urinary tract amebiasis localized to the bladder. We reviewed the different ways secondary infection can spread to the urinary tract (rupture of hepatic amebic abscess, perforation in amebic dysentery, or hematogenous spread of amebas) and the primary form of presentation and spread that have been recently focussed upon, i.e. via the "ascending route" in deviant sexual habits of bisexuals and homosexuals, parasites in the anorectal area can colonize the urethra. We discuss the different diagnostic methods and treatment of urinary and intestinal amebiasis, as well as their possible relationship.