title: An unusual case of hematuria in a French family returning from Corsica.
abstract: Urinary schistosomiasis caused by Schistosoma haematobium worms is endemic to tropical regions where it is the most common cause of hematuria. However, the intermediate snail hosts, Bulinus truncatus, have been described in Portugal, Spain, Sardinia, and Corsica. S. haematobium has long remained exotic to Europe, however, an outbreak of urinary schistosomiasis in Corsica started in 2011 with B. truncatus as the primary intermediate host. We describe the case of a 12-year-old French boy presenting hematuria and dysuria who was diagnosed with urinary schistosomiasis. Urine examination confirmed the presence of viable parasitic ova. He also had a positive serology. Since there was no history of travel to a schistosomiasis endemic region, the probable area of contamination was identified as the south of Corsica where the family had spent their summer holidays 7 months earlier. Two other family members had a positive serology without ova excretion in urine. The patients were treated with praziquantel. In light of these recent locally acquired cases in France, schistosomiasis should be considered in the differential diagnosis of hematuria, especially in patients who have recently visited Corsica.
authors.affiliation: Institut de Parasitologie et de Pathologie Tropicale, Université de Strasbourg, 3 rue Koeberlé, 67000 Strasbourg, France; Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Brunet
authors.affiliation: Institut de Parasitologie et de Pathologie Tropicale, Université de Strasbourg, 3 rue Koeberlé, 67000 Strasbourg, France; Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
authors.forename: Alexander W
authors.initials: AW
authors.lastname: Pfaff
authors.affiliation: Service de Maladies Infectieuses et Tropicales, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Hansmann
authors.affiliation: Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Gregorowicz
authors.affiliation: Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Pesson
authors.affiliation: Institut de Parasitologie et de Pathologie Tropicale, Université de Strasbourg, 3 rue Koeberlé, 67000 Strasbourg, France; Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Abou-Bacar
authors.affiliation: Institut de Parasitologie et de Pathologie Tropicale, Université de Strasbourg, 3 rue Koeberlé, 67000 Strasbourg, France; Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France. Electronic address: candolfi@unistra.fr.
authors.forename: Ermanno
authors.initials: E
authors.lastname: Candolfi
mesh_terms: D000293:Adolescent; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D002648:Child; D005260:Female; D005602:France; D006417:Hematuria / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011223:Praziquantel / Q000627:therapeutic use; D012548:Schistosoma haematobium / Q000302:isolation & purification; D012553:Schistosomiasis haematobia / Q000175:diagnosis*; D014195:Travel
chemical_list: D000871:Anthelmintics; D011223:Praziquantel
keywords: Bilharziasis; Corsica; France; Schistosoma haematobium