Jimie Joachim, Lyttle Margaret
Department of Urology, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, Cheshire, UK
Department of Urology, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, Cheshire, UK.
BMJ Case Rep. 2020 Apr 7;13(4):e233929. doi: 10.1136/bcr-2019-233929.
A 23-year-old man presented to us with multiple episodes of visible haematuria associated with dysuria, but no other symptoms suggestive of infection. His physical examination was completely unremarkable. On detailed evaluation of history, it was noted that he was treated for urinary schistosomiasis as a child in Sudan. A diagnostic flexible cystoscopy, with both white light and narrow band imaging (NBI), was done among other tests as a further diagnostic tool to investigate possible causes. This revealed the characteristic features of bladder schistosomiasis. Urine microscopy for eggs was negative, and this could have caused the diagnosis to be missed. He was treated with praziquantel for chronic bladder schistosomiasis. This is the first time that the use of NBI as an adjunct to white light imaging in the diagnosis of bladder schistosomiasis has been reported.
一名23岁男性前来就诊，出现多次肉眼血尿并伴有排尿困难，但无其他提示感染的症状。他的体格检查完全正常。在详细询问病史时，发现他小时候在苏丹曾接受过埃及血吸虫病治疗。作为进一步的诊断工具，除其他检查外，还进行了诊断性软性膀胱镜检查，包括白光和窄带成像（NBI），以调查可能的病因。这揭示了膀胱血吸虫病的特征性表现。尿液显微镜检查未发现虫卵，这可能导致漏诊。他接受了吡喹酮治疗慢性膀胱血吸虫病。这是首次报道将NBI作为白光成像的辅助手段用于诊断膀胱血吸虫病。
