Thummar Haresh G, Vithlani Hemen I, Suthar Pokhraj P, John Deepa Regina, Thummar Nisha, Chauhan Harendra
Department of Surgery, Sterling Hospital, Vadodara, Gujarat, India.
Department of Radiology and Imaging Sciences, Sterling Hospital, Vadodara, Gujarat, India.
Pol J Radiol. 2017 Jul 10;82:376-378. doi: 10.12659/PJR.901140. eCollection 2017.
Schistosomiasis or snail fever is an endemic parasitic infection caused by various trematodes of the genus People acquire the disease through contact with water containing infected snails. It is one of the most widespread human parasitic infections in tropical and subtropical regions of the world such as Africa, South America, the Middle East, Asia and the Caribbean. In 1996, the World Health Organisation estimated that more than 200 million people living in rural areas are affected by this disease. However, the diagnosis is difficult in low prevalence areas because of a low index of suspicion.
Herein, we present a case of a 14-year old boy who had intermittent passage of blood in urine for the past 3 years. Clinical examination and initial investigations did not reveal any abnormality. Bladder schistosomiasis was suspected after contrast-enhanced computed tomography and later confirmed by cystoscopic biopsy.
Bladder schistosomiasis is a prevalent disease in the developing countries, but in non-endemic areas diagnosis may be often missed. The diagnosis should be considered in patients presenting with sporadic episodes of haematuria who have immigrated from or travelled to areas where this disease is endemic.
血吸虫病或蜗牛热是由血吸虫属的各种吸虫引起的一种地方性寄生虫感染。人们通过接触含有受感染蜗牛的水而感染这种疾病。它是世界热带和亚热带地区（如非洲、南美洲、中东、亚洲和加勒比地区）最广泛传播的人类寄生虫感染之一。1996年，世界卫生组织估计，生活在农村地区的2亿多人受到这种疾病的影响。然而，由于怀疑指数较低，在低流行地区诊断困难。
在此，我们报告一例14岁男孩的病例，该男孩在过去3年中出现间歇性血尿。临床检查和初步检查未发现任何异常。经对比增强计算机断层扫描后怀疑为膀胱血吸虫病，后来经膀胱镜活检确诊。
膀胱血吸虫病在发展中国家是一种普遍疾病，但在非流行地区诊断常常会被漏诊。对于有散发性血尿发作且曾从该疾病流行地区移民或前往过该地区的患者，应考虑进行该诊断。
