Department of Medicine, College of Medicine, Jazan University, Jazan 45142, Saudi Arabia.
Medicina (Kaunas). 2022 Jul 27;58(8):1001. doi: 10.3390/medicina58081001.
Schistosomiasis is a neglected disease that is prevalent in tropical and subtropical areas. A 20-year-old woman presented to the emergency room with a history of right flank pain and lower abdominal discomfort for one day, which coincided with the onset of menses. The patient did not provide any history of premenstrual hematuria. The physical examination revealed right costovertebral angle tenderness and was otherwise unremarkable. The urinalysis demonstrated a mild increase in red and white blood cells and no ova or parasite. The blood test was normal, except for eosinophilia. A right pedunculated intraluminal urinary bladder mass was detected by the computerized axial tomographic scan and ultrasonography, and after the transurethral resection of the mass, the patient was diagnosed with urinary schistosomiasis. The patient received two doses of oral praziquantel of 1200 mg every 12 h for one day. The cure was confirmed with a one-month post-treatment follow-up that revealed a normal urine microscope and eosinophil count. The infection should be evaluated as a possible cause of urinary bladder lesion in those who have travelled or lived in endemic areas.
血吸虫病是一种被忽视的疾病，流行于热带和亚热带地区。一名 20 岁的女性因右胁腹痛和下腹部不适 1 天就诊，与月经来潮同时发生。患者无月经前期血尿史。体格检查发现右侧肋脊角压痛，其他无异常。尿分析显示轻度红细胞和白细胞增多，无虫卵或寄生虫。除嗜酸性粒细胞增多外，血液检查正常。计算机轴向断层扫描和超声检查发现右侧有带蒂腔内膀胱肿块，经尿道切除肿块后，患者被诊断为尿路血吸虫病。患者接受了两次 1200mg 吡喹酮口服治疗，每 12 小时一次，持续一天。在一个月的治疗后随访中，尿液显微镜和嗜酸性粒细胞计数正常，确认治愈。对于那些有旅行或居住在流行地区的病史的人，应该评估这种感染是否可能是膀胱病变的原因。
