Multisystem Processes & Disorders

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young man has presented with dysuria, soon after returning from a foreign trip.\n\nOne possibility which immediately comes to mind is a sexually transmitted infection (STI); a urinary tract infection (UTI) is the other important possibility, although this is uncommon in males.\n\nA urinalysis is a good first step. This gives an unexpected result: microhematuria, without pyuria; this is not compatible with either of the diagnoses listed above.\n\nNote also the presence of live Schistosoma ova; this reveals the diagnosis to be urogenital schistosomiasis. Very likely, he was infected during his trip to Egypt, in which the disease is endemic.\n\nThe urogenital tract of these patients should be imaged via computerized tomography (CT). The calcifica"}]}

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