title: Acute anuria after a family vacation to Corsica/France.
abstract: A 12-year-old male patient suffered hematuria. Histopathology of a biopsy showed granulomata suspicious for schistosomiasis. The patient had never travelled outside Europe during his entire lifetime. He had taken frequent bathes in various rivers during his last family holidays 5 months earlier in Corsica. Microfiltration of urine revealed viable ova of Schistosoma haematobium with alterated size and shape. Ultrasonography showed a large focal echopoor mass attached to the bladder roof. Four days after antihelminthic therapy, the patient suffered inferior abdominal pain and acute anuria. Ultrasound revealed an approximately 5-cm mass in the bladder lumen suspicious for a large blood clot. After taking non-invasive measures such as drinking high amounts of fluid and treating the lower abdomen with a warm water bag and massage, the clot was excreted with urine and symptoms subsided. The further course was uneventful until 11 months later when hematuria recurred. This time, parasitological urine examination confirmed non-viable schistosome ova. Hematuria was likely due to erosion of the bladder mucosa by calcified non-viable ova.
authors: Tropical Medicine Unit, Department of Gastroenterology, Hepatology and Infectious Diseases, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany. Joachim.Richter@med.uni-duesseldorf.de.
authors: Joachim
authors: J
authors: Richter
authors: Tropical Medicine Unit, Department of Gastroenterology, Hepatology and Infectious Diseases, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
authors: Martha
authors: M
authors: Holtfreter
authors: Univ. Perpignan Via Domitia, IHPE UMR 5244, CNRS, IFREMER, Univ. Montpellier, 58 avenue Paul Alduy, Bât. R, F-66860, Perpignan, France.
authors: Gabriel
authors: G
authors: Mouahid
authors: Univ. Perpignan Via Domitia, IHPE UMR 5244, CNRS, IFREMER, Univ. Montpellier, 58 avenue Paul Alduy, Bât. R, F-66860, Perpignan, France.
authors: Hélène
authors: H
authors: Moné
mesh_terms: D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use*; D001002:Anuria / Q000453:epidemiology / Q000209:etiology*; D002648:Child; D005602:France; D006801:Humans; D008297:Male; D012548:Schistosoma haematobium; D012553:Schistosomiasis haematobia / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D013927:Thrombosis / Q000150:complications / Q000209:etiology* / Q000473:pathology; D014195:Travel; D001743:Urinary Bladder / Q000473:pathology
chemical_list: D000871:Anthelmintics
keywords: 2013; Acute anuria; Blood clot; Corsica; France; Hematuria; Schistosoma bovis; Schistosoma haematobium; Urinary schistosomiasis