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尿路血吸虫病:膀胱活检确诊病例报告。

Urinary schistosomiasis: report of case diagnosed in bladder biopsy.

作者信息

Chahdi Hafsa, Damiri Amal, El Ochi Mohamed Reda, Allaoui Mohamed, Al Bouzidi Abderrahmane, Oukabli Mohamed

机构信息

Department of Pathology, Military General Hospital Mohammed V, Mohammed V- Souissi University, Hay Riad, 10000 Rabat, Morocco.

出版信息

BMC Clin Pathol. 2018 Nov 28;18:13. doi: 10.1186/s12907-018-0080-5. eCollection 2018.

Abstract

BACKGROUND

Urinary schistosomiasis is a common parasitic disease in endemic countries.

CASE PRESENTATION

We 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.

CONCLUSIONS

It 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.

摘要

背景

尿路血吸虫病在流行国家是一种常见的寄生虫病。

病例报告

我们报告一例在毛里塔尼亚出差的患者。由于出现血尿以及有在流行区停留的经历而怀疑患有这种寄生虫病,在膀胱镜检查后进行膀胱活检的组织学检查中发现埃及血吸虫卵得以确诊,显示出血吸虫性肉芽肿,当然,通过对新鲜采集尿液的直接检查发现虫卵也证实了诊断。

结论

应当指出,血吸虫病的诊断必须结合血尿、膀胱黏膜特殊的炎症表现以及在流行区停留的经历来考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8047/6263537/726e55eb3826/12907_2018_80_Fig1_HTML.jpg

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