Bladder schistosomiasis in Italy: A case report.

Urologia
Marco FabianoVincenzo Altieri

Abstract

Human schistosomiasis is a snail-borne disease caused by parasitic blood-dwelling flukes. A long-term infection can lead to the risk of liver damage, kidney failure, infertility, or bladder cancer. The most common sign is hematuria with the blood first seen in the terminal urine, but in severe cases the whole urine sample can be dark colored. We analyze the case of a healthy African child living in Italy since birth, harboring a hidden debilitating disease that was picked up during ultrasonography. A 11-year-old African child was admitted to our emergency department with macroscopic hematuria, dysuria, and frequency for 2 months. Ultrasonography revealed a solid mass involving bladder's right wall. Non-contrast and contrast-enhanced scans of computerized tomography showed a mass of 45 mm x 15 mm on the right bladder wall. A bipolar transurethral resection of bladder was performed. The pathological examination showed findings consistent with Schistosoma haematobium. The clinical manifestations of schistosomiasis depend on the inflammatory response to the parasitic infection. In particular, it can manifest in the bladder as painless dysuria, urinary incontinence and urinary frequency, hematuria, or even urinary retention if the t...Continue Reading

References

Mar 8, 2006·European Urology·Karl-Horst BichlerPeter Tenke
Sep 26, 2006·Lancet·Bruno GryseelsLuc Kestens
Sep 1, 2013·Journal of Advanced Research·Rashad S Barsoum
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Aug 31, 2018·Frontiers in Medicine·Kenji Ishida, Michael H Hsieh
Oct 19, 2019·Clinical Case Reports·Sohan Zane PintoEunice Joy Van Den Berg

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Citations

Apr 4, 2021·Pharmaceutics·Veronica FollieroMassimiliano Galdiero

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