Hematospermia in a returned traveler.
Hematospermia is a common complaint among patients seen in outpatient urology clinics. The differential diagnosis is broad and includes inflammatory, infectious, neoplastic, structural, systemic, and traumatic causes. The most common infectious causes are uropathogens and sexually transmitted infections. However, with increasing global travel, physicians must maintain a high clinical suspicion for pathogens not endemic to their region, includingEchinococcus,Mycobacterium tuberculosis,andSchistosoma.1 We present a case of hematospermia in a traveler returning from Eastern Africa with exposure to Lake Malawi. The patient's microscopic analysis of semen was positive forSchistosoma haematobium, revealing a rare presentation ofS. haematobiuminfection.
University of Calgary, Internal Medicine Residency Program, Calgary, AB, Canada.
Raynell
R
Lang
Regina Qu'Appelle Health Region, Department of Laboratory Medicine, University of Saskatchewan, College of Medicine, Regina, SK, Canada.
Jessica
J
Minion
Regina Qu'Appelle Health Region, Division of Infectious Disease, Regina, SK, Canada.
Alexander
A
Wong