[A case bilharziasis in a Japanese male].
Bilharziasis is an endemic disease distributed mostly in African countries and the Middle East, and causes severe disturbances of urinary tract secondarily. Although it used to be a very rare disease in Japan, modern human mobility and jet travel have brought this tropical disease into our country far from endemic areas. A 25-year-old Japanese male presented to our hospital with macroscopic hematuria. He had an experience of traveling to Malawi two years before. Cystourethroscopy demonstrated so-called 'bilharzial tubercles', many yellowish specks of mucosa at the posterior wall and dome of the bladder. The diagnosis of bilharziasis was made by detection of Schistosoma haematobium eggs in urine and histological specimen obtained by transurethral biopsy. In this case, radiographic and pathological examinations revealed neither obstructive uropathy nor urothelial malignancy. He was treated with praziquantel, and the disease is under good control.
Kitayama
Sachi
S
Department of Urology and Reproductive Medicine, Tokyo Medical and Dental University, Graduate School.
Hyochi
Nobuhiko
N
Kijima
Toshiki
T
Iwai
Aki
A
Takazawa
Ryoji
R
Matsuoka
You
Y
Otsuka
Yukihiro
Y
Yano
Masataka
M
Masuda
Hitoshi
H
Fujii
Yasuhisa
Y
Kawakami
Satoru
S
Kobayashi
Tsuyoshi
T
Kihara
Kazunori
K
Akao
Nobuaki
N
D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D006801:Humans; D007564:Japan; D008295:Malawi; D008297:Male; D011223:Praziquantel / Q000627:therapeutic use; D012548:Schistosoma haematobium; D012553:Schistosomiasis haematobia / Q000188:drug therapy / Q000209:etiology* / Q000469:parasitology; D014195:Travel; D001743:Urinary Bladder / Q000469:parasitology
D000871:Anthelmintics; D011223:Praziquantel