Vesical schistosomiasis with terminal hematuria in sub-Saharan patients.
Actas Urol Esp
; 38(2): 133-7, 2014 Mar.
Article
en En, Es
| MEDLINE
| ID: mdl-24099825
ABSTRACT
OBJECTIVES:
To know the characteristics of vesical schistosomiasis caused by schistosoma hematobium in immigrant patients. MATERIAL ANDMETHODS:
The retrospective study of 41 cases microbiologically diagnosed in our hospital over the last 16 years is presented. Data was collected on origin, age, presentation form, diagnostic tests and treatment.RESULTS:
All were African patients whose ages ranged from 4 to 32 years and who had terminal macroscopic hematuria. Most of the patients (85%) were men. In all of the cases, diagnosis was by a urinary microbiological study and in one case, cystoscopy with a biopsy of a typical vesical lesion. Terminal hematuria is the most representative clinical sign. They were treated with praziquantel.CONCLUSIONS:
The epidemiology and intermittent terminal hematuria in African patients should lead to the suspicion of vesical schistosomiasis as the first diagnostic option. Urinary microbiological study is a rapid, non-invasive, test with high diagnostic yield that would avoid performing invasive studies. Its simple treatment assures high level of compliance and consequent efficacy.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones Urinarias
/
Enfermedades de la Vejiga Urinaria
/
Esquistosomiasis Urinaria
/
Hematuria
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
País/Región como asunto:
Africa
/
Europa
Idioma:
En
/
Es
Revista:
Actas Urol Esp
Año:
2014
Tipo del documento:
Article