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Hematospermia in a returned traveler.

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Hematospermia, or blood in semen, can stem from various causes. This case highlights a rare instance of Schistosoma haematobium infection in a traveler, emphasizing the need to consider uncommon pathogens.

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Area of Science:

  • Urology
  • Infectious Diseases
  • Parasitology

Background:

  • Hematospermia is a frequent urology outpatient complaint with a broad differential diagnosis.
  • Common causes include inflammation, infection (uropathogens, STIs), neoplasms, and trauma.
  • Global travel necessitates considering non-endemic pathogens like Schistosoma.

Purpose of the Study:

  • To report a rare case of hematospermia caused by Schistosoma haematobium infection.
  • To underscore the importance of considering parasitic infections in travelers presenting with hematospermia.

Main Methods:

  • Case presentation of a traveler returning from Eastern Africa (Lake Malawi exposure).
  • Microscopic semen analysis to identify causative agents.
  • Clinical evaluation for hematospermia.

Main Results:

  • Microscopic semen analysis confirmed the presence of Schistosoma haematobium.
  • The patient presented with hematospermia, a rare manifestation of this parasitic infection.

Conclusions:

  • Schistosoma haematobium infection should be considered in the differential diagnosis of hematospermia, especially in travelers from endemic areas.
  • This case illustrates a rare clinical presentation of Schistosoma haematobium.