A case of paediatric bladder bilharzioma in Johannesburg, South Africa

Pinto, Sohan Zane; Friedman, R.; Berg, Eunice J van den

doi:10.1002/ccr3.2382

Cited by 5 publications

(9 citation statements)

References 8 publications

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“…e mean age of our patients was 27 years which is in accordance to the higher prevalence of this infection in young adults [8] and children [5,10].…”

Section: Discussionsupporting

confidence: 84%

“…He also observed that fibrocalcic and villous polyps were associated with lesions of chronic bilharzian cystitis in the majority of cases and active lesions in a minority of cases (8.8%). Pinto et al had also observed lesions of active bilharziasis associated with granulomatous polyps [ 5 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…As soon as they penetrate through the skin, the schistosomules reach the intrahepatic portal venules by circulatory route. They will continue their sexual development and maturation towards the venous plexuses of the bladder and other pelvic organs [ 5 ]. The involvement of the various urogenital organs varies according to the richness of their vascularization.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiological and Diagnostic Aspects of Bladder Bilharziomas in the Urology Department of Idrissa Pouye General Hospital (HOGIP)

Gaye

Jalloh

Thiam

et al. 2021

Advances in Urology

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Objective. The aim of our study is to assess the diagnostic aspects of bladder bilharzioma in the Urology Department of Idrissa Pouye General Hospital (Senegal). Materials and Methods. It is a descriptive study from January 2013 to December 2018. The patients included in the study were those who had anatomopathological examination of bladder biopsy that showed a schistosomiasis pseudotumor of the bladder. The variables studied were sociodemographic, clinical symptoms, imaging findings, histology, and treatment. The data have been saved and analyzed by the 2013 Excel software. Results. Thirteen patients were included in our study. The average age was 27 ± 12.1 years. Sex ratio was 1.6. The majority of the patients were from the northern part of Senegal. Hematuria was the main symptom for all the patients. Cystoscopy was performed for all the patients and showed 5 granulomas and 8 fibrocalcic polyps. A transurethral resection of the bladder was performed, and treatment with praziquantel (40 mg/kg of bodyweight) has been carried out. One patient presented precancerous lesions such as metaplasia and dysplasia of the bladder mucosa. After a median follow-up of 40 months (6–57 months), ten patients had a favorable clinical and endoscopic outcome. Conclusion. Granulomas and fibrocalcic polyps of the bladder mucosa are, respectively, confused with squamous cell carcinoma and bladder lithiasis in endemic areas of schistosomiasis. Good cystoscopy interpretation can provide the diagnosis of bladder bilharzioma and start the treatment.

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“…e mean age of our patients was 27 years which is in accordance to the higher prevalence of this infection in young adults [8] and children [5,10].…”

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Epidemiological and Diagnostic Aspects of Bladder Bilharziomas in the Urology Department of Idrissa Pouye General Hospital (HOGIP)

Gaye

Jalloh

Thiam

et al. 2021

Advances in Urology

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“…S. haematobium lives in the pelvic venous plexus of the bladder of humans and eggs are sometimes shed in urine [9]. These eggs have a terminal spine that penetrates surfaces it attaches itself to and also causes haematuria when it travels down the wall of the urinary bladder.…”

Section: Discussionmentioning

confidence: 99%

Vulva Schistosomiasis Presenting as Chronic Malignant Ulcer in an HIV Patient: A Case Report and a Review of the Literature

Derkyi-Kwarteng¹,

Ola²,

Adjei³

et al. 2022

IJTDH

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Schistosomiasis is a freshwater parasitic disease caused by infection with the trematode of the genus Schistosoma. The common species of Schistosoma that affect humans are the Schistosoma haematobium, S. japonicum, and S. mansoni. The clinical manifestations of Schistosoma are determined by causal factors, which include the type of Schistosoma, period of infection, host-specific factors that influence the activity to the worm eggs, and access to treatment. A 51-year-old woman who is a known HIV type 1 positive patient for the past 18years and is on antiretroviral therapy presents to the clinic with a year history of vulva itching. On examination of the vulva is a clean base ulcer that measures 5x3cm with raised edges. Investigation shows normal Full blood count and blood urea nitrogen. Her viral load has decreased from 45,460 in 2018 to 201 viral copies in 2020. The pathologist received a skin wedge biopsy measuring 3.5x2x1.5 cm of greyish white with dark brown areas. Sections of the tissue showed an ulcerated skin with a heavily mixed inflammatory infiltrate mainly of lymphocytes, plasma cells, and eosinophils. A diagnosis of Vulva Schistosomiasis was made. The patient was treated with Praziquantel and the ulcer is healing. It is therefore recommended that there should be adequate distribution of praziquantel in Schistosoma endemic areas to help reduce and prevents schistosomiasis. Again, there should be regular provision of praziquantel living with HIV ( preventive chemotherapy) who stays in Schistosoma endemic areas.

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“…About 90 million people are infected worldwide. 6 The clinical manifestations depend on the inflammatory response to parasite infection. In particular, it can manifest in the bladder as painless dysuria, urinary incontinence, and urinary frequency or hematuria.…”

Section: Discussionmentioning

confidence: 99%

Bladder schistosomiasis in Italy: A case report

et al. 2020

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Introduction: Human schistosomiasis is a snail-borne disease caused by parasitic blood-dwelling flukes. A long-term infection can lead to the risk of liver damage, kidney failure, infertility, or bladder cancer. The most common sign is hematuria with the blood first seen in the terminal urine, but in severe cases the whole urine sample can be dark colored. We analyze the case of a healthy African child living in Italy since birth, harboring a hidden debilitating disease that was picked up during ultrasonography. Case Report: A 11-year-old African child was admitted to our emergency department with macroscopic hematuria, dysuria, and frequency for 2 months. Ultrasonography revealed a solid mass involving bladder’s right wall. Non-contrast and contrast-enhanced scans of computerized tomography showed a mass of 45 mm x 15 mm on the right bladder wall. A bipolar transurethral resection of bladder was performed. The pathological examination showed findings consistent with Schistosoma haematobium. Discussion: The clinical manifestations of schistosomiasis depend on the inflammatory response to the parasitic infection. In particular, it can manifest in the bladder as painless dysuria, urinary incontinence and urinary frequency, hematuria, or even urinary retention if the trigone is involved. Utilization of ultrasonography for diagnostic evaluation of schistosomiasis is mandatory. For treatment, the World Health Organization recommends praziquantel which has an efficacy of up to 90%.

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A case of paediatric bladder bilharzioma in Johannesburg, South Africa

Cited by 5 publications

References 8 publications

Epidemiological and Diagnostic Aspects of Bladder Bilharziomas in the Urology Department of Idrissa Pouye General Hospital (HOGIP)

Epidemiological and Diagnostic Aspects of Bladder Bilharziomas in the Urology Department of Idrissa Pouye General Hospital (HOGIP)

Vulva Schistosomiasis Presenting as Chronic Malignant Ulcer in an HIV Patient: A Case Report and a Review of the Literature

Bladder schistosomiasis in Italy: A case report

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