Urol. praxi. 2018;19(5):246-248 | DOI: 10.36290/uro.2018.097
Urinary schistosomiasis in differential diagnosis of microhematuria in a young man
- 1 Urologická klinika, Fakultní nemocnice Ostrava
- 2 Klinika infekčního lékařství, Fakultní nemocnice Ostrava
- 3 Ústav patologie, Fakultní nemocnice Ostrava
Schistosomiasis is the second most widespread tropical desease after malaria. This infection occurs as an infection imported from endemicareas into the Czech Republic. Swimming in the contaminated water is a risk factor of the schistosomiasis. The presented case report describesthe case of a young 37-years-old man with a positive traveler's history and repeated asymptomatic microhemathuria accompaniedby antibiotic non-responsive leukocytes. According to the completed CT examination and cystoscopy, suspicion of bladder cancer wasreported. Transurethral resection of suspected bladder tumor was performed, histologically parasite bodies were found in the preparation.A more detailed parasitological examination confirmed the diagnosis of urinary schistosomiasis. The patient was assigned to the care ofinfectious agents, he was treated with an antihelmintic praziquantel, currently without evidence of recurrence of the disease. Because ofthe higher risk of squamous cell carcinoma of the bladder, patients with this diagnosis should be monitored with repeated cystoscopy.
Keywords: urinary schistosomiasis, microhemathuria, bladder cancer
Published: December 1, 2018 Show citation
References
- Beneš J. Infekční lékařství. Galén 2009: 363-364.
- Burkhard FC, Bosch JL HR, Cruz F, et al. Muscle invasive and metastatic bladder cancer. Guidelines EAU 2017. [Online]. Dostupné z: http://uroweb.org/guideline/bladder-cancer-muscle-invasive-and-metastatic/#3
- Dvořáček J, Babjuk M. Onkourologie. Galén 2005: 203.
- Hrabec M, Študent V. Hematurie. Urologie pro praxi 2001; 3: 101-104.