Abstract
BackgroundUrinary schistosomiasis is a common parasitic disease in endemic countries.Case presentationWe report the case of a patient who was on a working trip to Mauritania. This parasitosis, suspected in the presence of hematuria and the notion of stay in an endemic zone, was confirmed by the presence of Schistosoma heamatobium eggs during the histological examination of the bladder biopsy performed after cystoscopy, highlighting a bilharzial granuloma and of course, the diagnosis was confirmed by the presence of eggs during the direct examination of the freshly collected urine.ConclusionsIt should be pointed out that the diagnosis of schistosomiasis must be evoked with the association of hematuria and the particular inflammatory aspect of the vesical mucosa and, of course, the notion of stay in an endemic zone.
Highlights
BackgroundUrinary schistosomiasis was discovered by Bilharz in Cairo and it is caused by the parasite Schistosoma haematobium
Urinary schistosomiasis is a common parasitic disease in endemic countries
Urinary schistosomiasis was discovered by Bilharz in Cairo and it is caused by the parasite Schistosoma haematobium
Summary
Urinary schistosomiasis was discovered by Bilharz in Cairo and it is caused by the parasite Schistosoma haematobium. This endemic disease in 53 African countries, in the eastern Mediterranean and in India is suspected in the face of gross hematuria and confirmed by the detection of S. haematobium eggs. He was admitted to a central hospital with progressive hematuria, he has benefited from a cystoscopy with biopsies. Histological examination of the biopsies revealed a granulomatous inflammatory reaction made of epithelioid and gigantocellular granulomas punctuated by eosinophilic polynuclear cells. These granulomas contain in their centers bilharzia eggs (Fig. 1). The diagnosis was confirmed by the presence of Schistosoma heamatobium eggs in direct examination of fresh urine collected (Fig. 2)
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