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Resumen La esquistomiasis urinaria es producida por Schistosoma haematobium. Es una enfermedad endémica en muchas regiones del mundo, no existente en Chile. Se presenta el caso de un hombre joven que viajó a Malawi, en África meridional, y que a su regreso al país, años después, presentó un síndrome miccional con hematuria macroscópica. La biopsia de vejiga mostró una cistitis granulomatosa y eosinofílica con huevos de Schistosoma haematobium.
Urinary schistosomiasis is produced by Schistosoma haematobium. It is an endemic disease in many regions of the world, non-existent in Chile. We report a case of a young man who traveled to Malawi, in southern Africa, and who returned to Chile. Few years later, he presented a urinary syndrome with macroscopic hematuria. The bladder biopsy showed a granulomatous and eosinophilic cystitis with eggs of Schistosoma haematobium.
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Humanos , Masculino , Adulto , Esquistosomiasis Urinaria/diagnóstico , Esquistosomiasis Urinaria/patología , Schistosoma haematobium , Chile , MalauiRESUMEN
La esquistosomiasis urogenital es una de las muchas parasitosis que padecen los habitantes de los países con poco nivel de desarrollo. Esta enfermedad, como algunas otras parasitosis, está aumentando su incidencia en algunos países como consecuencia de una mayor movilidad poblacional. Se presenta el caso de una paciente de 35 años que fue internada en la sala de medicina de mujeres del Hospital General de Malange con presencia de dolor en hipogastrio, escalofríos y hematuria final intermitente que padecía desde hacía 2 meses. Después de realizar algunos exámenes complementarios, se comprobó presencia de huevos de Shistosomas en muestra de orina y calcificación de la vejiga en forma de porcelana observada en radiografía simple de abdomen. Con el diagnóstico de Shistosomiasis urinaria, recibió tratamiento con praziquantel a 40 mg por kg. de peso en dosis única. La paciente egresó una semana después y fue seguida de forma ambulatoria. Actualmente se encuentra recuperada e incorporada a sus actividades habituales.
Uro-genital schistosomiasis is one of the parasite infections suffered by inhabitants of underdeveloped countries. This disease, as some other parasite infections, is increasing its incidence in some other as a consequence of higher population mobility. A case of a 35 year old woman is presented who was admitted to Malange General Hospital complaining of hypo-gastric pain, chills and final intermittent hematuria she had had for two monhs. After some lab tests, it was confirmed the presence of Schistosomas eggs in a urine sample and calcification of the bladder in porcelain form observed in a simple abdominal radiography. With the diagnosis of urinary schistosomiasis, she was treated with praziquantel at 40 mg per kg in a single dose. The patient came back a week later and afterwards for follow up. She is currently cured and doing her routines.
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Aims: To investigate urinary cytological abnormalities among adult residents of a urinary schistosomiasis endemic community. Study Design: Ethical approval, consent from the village Head/villagers, parasitological survey and cytological analysis of urine. Place and Duration of Study: Adim Community in Cross River State, Nigeria between May and November 2014 Methodology: Urine samples from 160 sex matched adults aged 18–85 years were examined using standard parasitological techniques for the presence of ova of Schistosoma haematobium. The urine smears were stained with Papanicolaou and Alcian Blue (PH 2.5) staining techniques and examined for cytological abnormalities and the presence of Hyaluronic acid respectively. Results: 18 (11.3%) subjects were infected. Subjects in the age groups >35 – 45 years had the highest prevalence rate 9(20.5%) while those in the age group >75 – 85 years had the lowest prevalence rate 0(0%) and the difference was statistically significant (P = 0.359). The infection rate was higher among females 11(12.5%) than the males 7(9.7%) but the difference was not statistically significant (P = 0.580). Males had a higher mean egg count (18±25.7 egg/10 ml of urine) than the females (17±15.5 egg/10 ml of urine). Subjects in the age group >35–45 years had the highest level of abnormal epithelial cells 1(11.1%). Males had a higher prevalence of abnormal cells 3(42.9%) than the females 1(9.1%). There was a positive correlation between the occurrence of infection and abnormal epithelial cells (r = 0.5). 3(1.9%) of the subjects were positive for hyaluronic acid. Male subjects had a higher level of epithelial cells positive for hyaluronic acid 2(2.8%) than the female subjects 1(1.14%) but this was not statistically significant (p<0.05). Conclusion: This study has reconfirmed the endemicity of urinary schistosomiasis and has also revealed the presence of abnormal epithelial cells as an indicator for bladder cancer in the urine of residents in Adim community.
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Aim: This study was aimed at assessing the use of the CyScope® fluorescence microscope to determine the prevalence of urinary schistosomiasis (US) and malaria in Kotto Barombi. Experimental Design: The study was a cross-sectional survey. Place and Duration of Study: The study was carried out in Kotto Barombi, Cameroon from April to May, 2013. Methodology: Urine and blood samples were collected from 216 pupils. US eggs were detected in urine by centrifugation and CyScope® methods for schistosome eggs. Malaria parasites were detected using Giemsa-stained blood films and CyScope® methods. The performance characteristics of the CyScope® for both infections were determined using light microscopy as gold standard. Results: Overall prevalence of US was 43.4% and 48.5% by light microscopy and CyScope® respectively. Prevalence of US was significantly higher (P<0.01) in the Kotto Barombi Island (78.3%) than Mainland (33.8%). US prevalence was not affected by age, sex and socio-economic class (SEC). Mean intensity of US was 8.1 eggs/10 ml urine (Confidence interval, CI = 4.3–11.9). It was significantly higher (P =.01) in pupils from Island (36.5 eggs/10 ml, CI: 17.7–55.3) than Mainland (8.8 eggs/10 ml; 7.1–10.5), males (19.2 eggs/10 ml urine; CI: 9.2–29.2) than females (17.8 eggs/10 ml urine; CI: 13.1–22.5) and highest (P = .046) in the ≤6 years age group (36.9 eggs/10 ml; CI: 20.4–53.4) when compared with pupils in other age groups. Sensitivity and specificity of CyScope® for US were 90.6% and 83.8% respectively. Overall prevalence of malaria was 19.0% and 41.2% by light microscopy and CyScope® respectively and the difference was significant (P = .01). Malaria prevalence and density were not influenced by age; sex and SEC. Sensitivity and specificity of CyScope® for malaria were 68.3% and 64.9% respectively. Conclusion: The CyScope® could be a useful tool for active case detection of both diseases especially in areas that lack electricity.
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Aims: To assess the present endemicity of urinary schistosomiasis among school aged pupils in Ipogun, a notable endemic village in Ondo state, Nigeria and also the efficacy of single dose Praziquantel in chemotherapy. Study Design: The overall goal of the study was to assess the current endemicity status and efficacy of Praziquantel in treatment at the standard dose of 40mg/kg body weight. Mass screening was conducted in all primary schools in the village after informed consent had been sought from their parents, teachers and the village king. The only age bracket excluded in the study were the under 3 year old. Place and Duration of Study: Department of Biology, Federal University of Technology, Akure, Nigeria, between January and June 2012. Methodology: Urine samples were collected from 567 pupils from five different primary schools in the village and examined for schistosome eggs using centrifugation method. Infected pupils at the first screening exercise were treated with single dose Praziquantel (40mg/kg body weight) and re-examined 3 weeks after treatment to assess cure rate. Results: Results revealed that 100 pupils were positive at the first screening giving a prevalence rate of 18% and post-treatment urinalysis showed that 80 of the previously infected pupils were negative three weeks after initial treatment giving 80% parasitological cure rate. Infection was higher among male pupils than the female and pupils from schools that were close to the village river had the highest prevalence of infection. Conclusion: Our findings revealed that prevalence of infection had reduced remarkably among the pupils in the village and that Praziquantel is still effective and remains a reliable drug of choice in chemotherapy in the study area.
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<p><b>OBJECTIVE</b>To assess the prevalence of anemia in children with urinary schistosomiasis, malaria and concurrent infections by the two diseases.</p><p><b>METHODS</b>Urine and blood samples were collected from 387 children (216 males and 171 females) to examine urinary schistosomiasis and malaria and to determine hemoglobin concentration at Hassoba and Hassoba Buri village in Amibara woreda, Afar region, Ethiopia.</p><p><b>RESULTS</b>The overall prevalence of urinary schistosomiasis and Plasmodium falciparum malaria was 24.54% and 6.20% respectively. Only 2.84% of children carried concurrent infections of both parasites. There was high percentage of anemic patients (81.81%) in the coinfected cases than in either malaria (33.3%) or schistosomiasis (38.94%) cases. There was significantly low mean hemoglobin concentration in concurrently infected children than non-infected and single infected (P<0.05). The mean hemoglobin concentration between Plasmodium falciparum and S. haematobium infected children showed no significant difference (P>0.05). The level of hemoglobin was negatively correlated with the number of S. haematobium eggs/10 mL urine (r=-0.6) and malaria parasitemia (r=-0.53).</p><p><b>CONCLUSIONS</b>The study showed that anemia is higher in concurrently infected children than non-infected and single infected. Furthermore, level of hemoglobin was negatively correlated with the number of S. haematobium eggs and malaria parsitemia. Therefore, examination of hemoglobin status in patients co-infected with malaria and schistosomiasis is important to reduce the risk of anemia and to improve health of the community.</p>
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Adolescente , Niño , Preescolar , Femenino , Humanos , Masculino , Anemia , Diagnóstico , Epidemiología , Etiopía , Malaria , Prevalencia , Esquistosomiasis Urinaria , DiagnósticoRESUMEN
Objective: To assess the prevalence of anemia in children with urinary schistosomiasis, malaria and concurrent infections by the two diseases. Methods: Urine and blood samples were collected from 387 children (216 males and 171 females) to examine urinary schistosomiasis and malaria and to determine hemoglobin concentration at Hassoba and Hassoba Buri village in Amibara woreda, Afar region, Ethiopia. Results: The overall prevalence of urinary schistosomiasis and Plasmodium falciparum malaria was 24.54% and 6.20% respectively. Only 2.84% of children carried concurrent infections of both parasites. There was high percentage of anemic patients (81.81%) in the coinfected cases than in either malaria (33.3%) or schistosomiasis (38.94%) cases. There was significantly low mean hemoglobin concentration in concurrently infected children than non-infected and single infected (P0.05). The level of hemoglobin was negatively correlated with the number of S. haematobium eggs/10 mL urine (r=-0.6) and malaria parasitemia (r=-0.53). Conclusions: The study showed that anemia is higher in concurrently infected children than non-infected and single infected. Furthermore, level of hemoglobin was negatively correlated with the number of S. haematobium eggs and malaria parsitemia. Therefore, examination of hemoglobin status in patients co-infected with malaria and schistosomiasis is important to reduce the risk of anemia and to improve health of the community.
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In Nigeria, schistosomiasis, caused predominantly by the species Schistosoma haematobium, is highly endemic in resource-poor communities. We performed a school-based survey in two rural communities in Osun State (Southwestern Nigeria) and assessed macrohaematuria, microhaematuria and proteinuria as indirect indicators for the presence of disease. Urine samples were inspected macroscopically for haematuria and screened for microhaematuria and proteinuria using urine reagent strips. The microscopic examination of schistosome eggs was used as the gold standard for diagnosis. In total, 447 schoolchildren were included in this study and had a 51 percent prevalence of urinary schistosomiasis. The sensitivity of microhaematuria (68 percent) and proteinuria (53 percent) for infection with S. haematobium was relatively low. In patients with a heavy infection (>500 eggs/10 mL), the sensitivity of microhaematuria was high (95 percent). When the presence of macrohaematuria and the concomitant presence of microhaematuria and proteinuria were combined, it revealed a sensitivity of 63 percent, a specificity of 93 percent and a positive predictive value of 91 percent. Macrohaematuria also showed high specificity (96 percent) and a positive predictive value of 92 percent, while sensitivity was < 50 percent. These data show that combining urine reagent strip tests (presence of proteinuria and microhaematuria) and information on macrohaematuria increased the accuracy of the rapid diagnosis of urinary schistosomiasis in an endemic rural West African setting. This simple approach can be used to increase the quality of monitoring of schistosomiasis in schoolchildren.