Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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Case Report of Urinary Schistosomiasis in a Returned Traveler in Korea

  • Lee, Yangkyu (Department of Pathology, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Song, Hyun Beom (Department of Tropical Medicine and Parasitology and Institute of Endemic Diseases, Seoul National University College of Medicine) ;
  • Jung, Bong-Kwang (Department of Tropical Medicine and Parasitology and Institute of Endemic Diseases, Seoul National University College of Medicine) ;
  • Choe, Gheeyoung (Department of Pathology, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Choi, Min-Ho (Department of Tropical Medicine and Parasitology and Institute of Endemic Diseases, Seoul National University College of Medicine)
  • Received : 2019.07.02
  • Accepted : 2019.12.04
  • Published : 2020.02.29
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Abstract

A 23-year-old Korean woman with a residence history in Kenya and Malawi for about 2 years presented with gross hematuria for 1 month. Blood tests were within normal range except eosinophilia. Asymmetrically diffuse wall thickening and calcification were observed at the urinary bladder on CT. Multiple erythematous nodular lesions were observed in the cystoscopy and transurethral resection was done. Numerous eggs of Schistosoma haematobium with granulomatous inflammation were observed in the submucosal layer of the bladder. The patient was diagnosed with schistosomiasis-related cystitis and treated with praziquantel (40 mg/kg/day) twice before and after transurethral resection. This case suggests that S. haematobium infection should be considered as a cause of hematuria in Korea when the patient had a history of traveling endemic areas of schistosomiasis.

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References

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