Radiological Case: Schistosoma Bladder Infection

핵심 개념

Presence of Schistosoma infection indicated by elevated eosinophils and positive serology.

초록

Case Summary:

• Child with hematuria and pyuria history.
• No associated symptoms.
• Recent visit to Africa, exposure to rivers.
• Cousins also had hematuria.
• Urinalysis showed proteinuria, blood, and elevated eosinophils.
• Negative for leukocyte esterase and nitrites.
• Normal white blood cell count.
• Positive for Schistosoma IgG.

통계

Eosinophils were elevated at 23.7%.
Serology was positive for Schistosoma IgG.

인용구

핵심 통찰 요약

Radiological Case: Schistosoma Bladder Infection

by Andrew A. Wi... 게시일 www.medscape.com 06-30-2023

http://www.medscape.com/viewarticle/992726

더 깊은 질문

How does Schistosoma infection impact the urinary system?

Schistosoma infection can lead to a condition known as schistosomiasis, which primarily affects the urinary system. The parasite's eggs can cause inflammation and damage to the bladder, ureters, and kidneys, leading to symptoms such as hematuria (blood in the urine), proteinuria (protein in the urine), and dysuria (painful urination). In severe cases, schistosomiasis can result in bladder wall thickening, fibrosis, and even bladder cancer. The presence of eosinophils in the urine and elevated eosinophil count in the blood can be indicative of a parasitic infection like Schistosoma.

What treatment options are available for Schistosoma infections?

The treatment of choice for Schistosoma infections is the use of praziquantel, which is an anthelmintic medication effective against the parasite. Praziquantel works by causing paralysis and subsequent death of the adult worms, allowing the body to eliminate them. It is usually administered as a single dose, making it a convenient and effective treatment option. In cases of severe infection or complications, additional supportive care may be necessary to manage symptoms and prevent further damage to the urinary system.

How can preventative measures be taken to avoid Schistosoma infections in endemic areas?

Preventative measures play a crucial role in reducing the risk of Schistosoma infections in endemic areas. Some strategies that can be implemented include:

Avoiding contact with freshwater bodies where the parasite is known to thrive, especially in regions with a high prevalence of Schistosoma.
Encouraging the use of protective clothing, such as waterproof footwear, when engaging in activities that involve exposure to potentially contaminated water sources.
Promoting the provision of safe and clean water sources for drinking and domestic use to minimize the risk of infection.
Implementing mass drug administration programs in endemic areas to treat and prevent the spread of Schistosoma infections among the population.
By combining these preventive measures with public health education and awareness campaigns, the incidence of Schistosoma infections can be significantly reduced in endemic regions.