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[混合性泌尿生殖系统血吸虫病]

[Mixed urogenital schistosomiasis].

作者信息

Pereira Arias J G, Ibarluzea González J G, Alvarez Martínez J A, Maraña Fernández M, Gallego Sánchez J A, Larrinaga Simón J, Bernuy Malfaz C

机构信息

Servicio de Urología, Hospital de Galdakao, Vizcaya.

出版信息

Actas Urol Esp. 1997 Mar;21(3):272-7.

PMID:9324895
Abstract

Urinary schistosomiasis is a parasitosis caused by Schistosoma Haematobium which affect in a diffuse manner all the genitourinary tract. Presentation of 5 patients (4 male, 1 female) with mixed Bilharziosis that was detected after the study of a young male that came to the clinic with a complaint of haematuria and who underwent transurethral resection under the suspicion of a vesical urothelial neoformation. Sch. Hameatobium eggs were detected in the urine and Sch. Mansoni in the semen of all 4 male. All of them evolved favourably with Praziquantel. Considering the rarity of schistosomiasis in our environment and its increased incidence in endemic areas, this process should be included in the algorithm of differential diagnosis in young patients reporting dysuric syndromes associated to haematuria; the relevance of an epidemiological anamnesis so as to institute early treatment and avoid the consequences of chronic infection is pointed out.

摘要

尿路血吸虫病是一种由埃及血吸虫引起的寄生虫病,它会以弥漫性方式影响整个泌尿生殖道。本文介绍了5例(4例男性,1例女性)混合性血吸虫病患者,这是在对一名因血尿前来诊所就诊的年轻男性进行研究后发现的,该男性在怀疑膀胱尿路上皮新生物的情况下接受了经尿道切除术。在所有4名男性的尿液中检测到埃及血吸虫卵,在精液中检测到曼氏血吸虫。所有患者使用吡喹酮后病情均得到良好改善。鉴于血吸虫病在我们所处环境中较为罕见,而在流行地区发病率有所上升,对于报告有与血尿相关排尿困难综合征的年轻患者,该疾病应纳入鉴别诊断流程;文中指出了进行流行病学问诊的重要性,以便尽早开展治疗并避免慢性感染的后果。

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