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English Abstract
Journal Article
[Diagnosis of urinary schistosomiasis by identification of miracidia of Schistosoma haematobium ].
Revue Médicale Suisse 2018 May 3
Although rarely diagnosed in Switzerland, urinary tract schistosomiasis is common in the migrants' regions of origin, such as sub-Saharan Africa and the Middle East. Early recognition of this condition, even if asymptomatic, is crucial, because it increases the risk for HIV transmission and, if left untreated, can result in infertility and is associated with the development of bladder cancer. The diagnosis of urinary schistosomiasis should be especially suspected in case of terminal haematuria and eosinophilia in patients with a history of skin exposure to fresh water in endemic areas. The diagnosis is based on the identification by microscope of schistosome eggs or miracidia (a less common form of the Schistosoma sp lifecycle) in urine. The established treatment consists of praziquantel 40 mg/kg as single dose to be repeated at one month.
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