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[Schistosomiasis of the urinary bladder]
R D Adobor1, T E Johansen, B Majak
1Urologisk seksjon, Kirurgisk avdeling, Telemark sentralsjukehus, Porsgrunn.
Summary
Schistosoma haematobium, a parasitic worm causing urinary tract issues like haematuria, was diagnosed in a Somali immigrant. Treatment with praziquantel was successful, eliminating the parasite and symptoms.
Area of Science:
- Urology
- Infectious Diseases
- Parasitology
Background:
- Urinary tract schistosomiasis (bilharzia) is a significant public health concern, particularly in endemic regions.
- Haematuria and dysuria are common presenting symptoms that warrant thorough investigation, especially in immigrant populations.
Observation:
- A 12-year-old male immigrant from Somalia presented with a history of haematuria and dysuria.
- Microscopic urine analysis revealed Schistosoma haematobium eggs, confirmed by cystoscopy and mucosal biopsy showing characteristic pathological changes.
Findings:
- The patient was successfully treated with praziquantel, a key antiparasitic medication.
- Follow-up examinations three months post-treatment showed no evidence of Schistosoma haematobium eggs in the urine and negative cystoscopy results.
Implications:
- Schistosomiasis should be considered in the differential diagnosis of haematuria in immigrants from endemic areas.
- Early diagnosis and treatment of urinary schistosomiasis are crucial for preventing long-term complications and ensuring patient recovery.