RESUMEN
Ultrasonographic examination was performed on 212 school age children (152 proven Schistosomiasis, 60 normal) living in the endemic area of Barombi Kotto (Cameroon). 86.8% of urologic lesions were observed in the diseased group. 73 renal lesions were detected: these consisted of various degrees of dilatations. Urinary bladder lesions were present in 132 cases: they consisted of wall thickenings (84.9%), wall irregularities (79.6%) and localized hypertrophies (24.3%). 11 normal (18.4%) children presented with urologic complications. The prevalence of urologic lesions increased with the intensity of infection as measured by urinary egg output, but there seemed to be no direct relationship between the parasitic load and the severity of morbidity in the study. The authors recommend the use of ultrasonography as a public health tool for the diagnosis and control of disease complications in endemic areas.
