Schistosomiasis

Infested

Step 1: View clinicals

A 25 year old man complains of frequency, urgency, and dysuria for 3 days. He is otherwise asymptomatic. There is no history of urinary calculi. He returned from Egypt 2 months ago, where he swam in the Nile and consumed unboiled water. His medical, surgical and family histories are unremarkable.


Step 2: Order all relevant investigations

Urinalysis

There are 20 to 25 erythrocytes/hpf. No dysmorphic forms are seen Live Schistosoma ova are present

Complete Blood Count

WBC: 8400/mm3 Neutrophils: 50% Eosinophils: 14% Hemoglobin: 14g/dl Platelets: 261000/mm3

CT scan of Abdomen & Pelvis

The CT Scan reveals multiple small calcifications along both ureters and the bladder.

Schistosoma Serology

Positive for antischistosomal antibodies.


Step 3: Select appropriate management

Praziquantel
Steroids
Mebendazole
Ciprofloxacin


Score: ★★☆