Urinary schistosomiasis: a forgotten and challenging Diagnosis
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400007 |
Resumo: | Urinary schistosomiasis is a parasitic disease with a high global burden, especially in poor communities. Although rare in industrialized countries, schistosomiasis is expected to be seen with increasing frequency and poses a diagnostic challenge. We describe three cases of children presenting with gross hematuria caused by Schistosoma haematobium with the purpose of bringing awareness to this uncommon and treatable cause of hematuria in developed countries. All three patients were African male adolescents and presented with terminal hematuria. The long incubation period (as long as 2 years in one of our patients), the differential diagnosis with urinary tract infection prompting prescription of inadequate broad-spectrum antibiotics and the low sensitivity of urine standard examination for the presence of infecting schistosomes were the main challenges in these three patients. To increase the detection rate, urine samples can be taken after a mid-day session of physical exercise and a cystoscopy with tissue biopsies may be required if there are solid masses in the bladder wall on ultrasound. The presented cases aim to show the importance of interdisciplinary collaboration between clinical, surgical specialties and pathologists. |
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Urinary schistosomiasis: a forgotten and challenging DiagnosisChildrenHematuriaSchistosoma haematobiumUrinary schistosomiasis is a parasitic disease with a high global burden, especially in poor communities. Although rare in industrialized countries, schistosomiasis is expected to be seen with increasing frequency and poses a diagnostic challenge. We describe three cases of children presenting with gross hematuria caused by Schistosoma haematobium with the purpose of bringing awareness to this uncommon and treatable cause of hematuria in developed countries. All three patients were African male adolescents and presented with terminal hematuria. The long incubation period (as long as 2 years in one of our patients), the differential diagnosis with urinary tract infection prompting prescription of inadequate broad-spectrum antibiotics and the low sensitivity of urine standard examination for the presence of infecting schistosomes were the main challenges in these three patients. To increase the detection rate, urine samples can be taken after a mid-day session of physical exercise and a cystoscopy with tissue biopsies may be required if there are solid masses in the bladder wall on ultrasound. The presented cases aim to show the importance of interdisciplinary collaboration between clinical, surgical specialties and pathologists.Sociedade Portuguesa de Nefrologia2018-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400007Portuguese Journal of Nephrology & Hypertension v.32 n.4 2018reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400007Castro,Ana CGarrido,AndréBrito,Maria JPinto,SaraBento,Vandainfo:eu-repo/semantics/openAccess2024-02-06T17:05:00Zoai:scielo:S0872-01692018000400007Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:01.475162Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Urinary schistosomiasis: a forgotten and challenging Diagnosis |
title |
Urinary schistosomiasis: a forgotten and challenging Diagnosis |
spellingShingle |
Urinary schistosomiasis: a forgotten and challenging Diagnosis Castro,Ana C Children Hematuria Schistosoma haematobium |
title_short |
Urinary schistosomiasis: a forgotten and challenging Diagnosis |
title_full |
Urinary schistosomiasis: a forgotten and challenging Diagnosis |
title_fullStr |
Urinary schistosomiasis: a forgotten and challenging Diagnosis |
title_full_unstemmed |
Urinary schistosomiasis: a forgotten and challenging Diagnosis |
title_sort |
Urinary schistosomiasis: a forgotten and challenging Diagnosis |
author |
Castro,Ana C |
author_facet |
Castro,Ana C Garrido,André Brito,Maria J Pinto,Sara Bento,Vanda |
author_role |
author |
author2 |
Garrido,André Brito,Maria J Pinto,Sara Bento,Vanda |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Castro,Ana C Garrido,André Brito,Maria J Pinto,Sara Bento,Vanda |
dc.subject.por.fl_str_mv |
Children Hematuria Schistosoma haematobium |
topic |
Children Hematuria Schistosoma haematobium |
description |
Urinary schistosomiasis is a parasitic disease with a high global burden, especially in poor communities. Although rare in industrialized countries, schistosomiasis is expected to be seen with increasing frequency and poses a diagnostic challenge. We describe three cases of children presenting with gross hematuria caused by Schistosoma haematobium with the purpose of bringing awareness to this uncommon and treatable cause of hematuria in developed countries. All three patients were African male adolescents and presented with terminal hematuria. The long incubation period (as long as 2 years in one of our patients), the differential diagnosis with urinary tract infection prompting prescription of inadequate broad-spectrum antibiotics and the low sensitivity of urine standard examination for the presence of infecting schistosomes were the main challenges in these three patients. To increase the detection rate, urine samples can be taken after a mid-day session of physical exercise and a cystoscopy with tissue biopsies may be required if there are solid masses in the bladder wall on ultrasound. The presented cases aim to show the importance of interdisciplinary collaboration between clinical, surgical specialties and pathologists. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400007 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692018000400007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Nefrologia |
dc.source.none.fl_str_mv |
Portuguese Journal of Nephrology & Hypertension v.32 n.4 2018 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137280140509184 |