A rare case of hematuria

Bibliographic Details
Main Author: Mascarenhas,Andreia
Publication Date: 2011
Other Authors: Castro,Isabel
Format: Report
Language: eng
Source: Einstein (São Paulo)
Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082011000100081
Summary: ABSTRACT The infestation by Schistosoma haematobium is common in African countries and West Asia. Its chronic phase is characterized by the deposition of eggs of the parasite in various tissues of the body causing inflammatory response, formation of granulomas and fibrosis. The disease often affects the urinary tract, presenting with hematuria and, in the terminal stage, renal failure by urinary obstruction and bladder squamous neoplasia. Since chronic infection can lead to significant morbidity, it is imperative that the physicians who serve this immigrant population become familiar with this disease. A case of an immigrant boy from Guinea-Bissau seen in a Nephrology appointment for monosymptomatic terminal hematuria is presented. The diagnosis of urinary schistosomiasis was confirmed by parasitological examination of urine and the pathological examination of bladder biopsies. After therapy with praziquantel, the patient became asymptomatic.