title: Clinical presentations of schistosoma hematobium: three case reports and review.
abstract: Urinary schistosomiasis is a prevalent parasitic infection in certain areas of Africa and the Middle East. It could present with common as well as unusual urological symptoms, which poses a considerable diagnostic challenge in countries where there is relative low incidence of the disease. We describe three unusual cases of urinary schistosomiasis identified in patients presenting to a London hospital. One patient was found to have schistosomiasis in the seminal vesicles following surgery for prostatic adenocarcinoma. Another was found to have schistosoma-related granulomatous inflammation within a urachal cyst. Thirdly a patient was found to have simultaneous occurrence of transitional cell carcinoma and schistosomiasis of the bladder. We review the literature on the presentations of the parasite and its association with malignancy. In conclusion, awareness of the disease prevalence, clinical and histopathological features will help to avoid missing the diagnosis.
authors.affiliation: Department of Urology, North Middlesex University Hospital, London, United Kingdom.
authors.forename: Kanmin
authors.initials: K
authors.lastname: Xue
authors.forename: Simon
authors.initials: S
authors.lastname: Pridgeon
authors.forename: Rebecca
authors.initials: R
authors.lastname: Gillibrand
authors.forename: Jose
authors.initials: J
authors.lastname: Sanchez de Crespo
authors.forename: Hirsch
authors.initials: H
authors.lastname: Godbole
authors.forename: George
authors.initials: G
authors.lastname: Fowlis
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D015653:Cystectomy; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D011223:Praziquantel / Q000627:therapeutic use; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery; D012548:Schistosoma haematobium / Q000302:isolation & purification*; D012553:Schistosomiasis haematobia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D012669:Seminal Vesicles / Q000469:parasitology* / Q000473:pathology / Q000601:surgery; D014496:Urachal Cyst / Q000469:parasitology* / Q000473:pathology / Q000628:therapy; D001745:Urinary Bladder Diseases / Q000453:epidemiology / Q000469:parasitology* / Q000628:therapy; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy
chemical_list: D000871:Anthelmintics; D011223:Praziquantel