Abstract
WITH THE recent immigration of Indochinese refugees into the United States, parasitic infection indigenous to this population is being recognized more frequently.<sup>1-4</sup>We report a case of urinary tract gnathostomiasis in a Laotian refugee who immigrated to the United States in 1979. To our knowledge, this is the first such case to be reported in this country and only the fifth on record.<sup>5</sup>The parasite, identified as<i>Gnathostoma spinigerum</i>, was also somewhat unusual in that it was a nearly mature male worm. This form of larvae migrans more commonly yields smaller, thirdstage larvae somewhere on the body in subcutaneous tissue.<sup>6</sup> <h3>Report of a Case</h3> A 46-year-old native of Laos immigrated to the United States from a refugee camp in Thailand. His medical history was unremarkable and he was in good health until early July 1982, when he had bilateral costovertebral pain, gross hematuria, terminal dysuria, and temperature
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