Pareek S S
Sex Transm Dis. 1980 Jul-Sep;7(3):137-8. doi: 10.1097/00007435-198007000-00011.
A case of urethritis due to Schistosoma haematobium with superimposed gonorrhea is described. The diagnosis was confirmed by the presence of gram-negative intracellular diplococci in the urethral discharge and of characteristic terminal spined Schistosoma haematobium ova in the urine, as well as by the favorable clinical response to treatment with the antischistosomal drug niridazole. A diagnosis of schistosomiasis should be considered for patients in whom treatment with drugs that are active against the common causes of urethritis fails, particularly when such patients live in an area where bilharzia is endemic or epidemic.
本文描述了一例由埃及血吸虫引起的尿道炎合并淋病的病例。尿道分泌物中革兰氏阴性细胞内双球菌的存在、尿液中特征性的末端有刺的埃及血吸虫卵，以及使用抗血吸虫药物硝唑咪治疗后良好的临床反应，均证实了该诊断。对于使用针对尿道炎常见病因有效的药物治疗失败的患者，尤其是生活在血吸虫病流行或暴发地区的患者，应考虑血吸虫病的诊断。
