Improving the management of imported schistosomiasis haematobia in China: lessons from a case with multiple misdiagnoses

Particle and Fibre Toxicology

You-Sheng Liang¹  Feng Tang¹  Guo-Qun Cao¹  Wei Wang¹  Hai-Yong Hua¹ 

[1] Jiangsu Provincial Key Laboratory of Molecular Biology of Parasites, 117 Yangxiang, Meiyuan, Wuxi City, Jiangsu Province 214064, People’s Republic of China

关键词: China;    Case report;    Imported case;    Schistosoma haematobium;   

Others  :  824648
DOI  :  10.1186/1756-3305-6-260

 received in 2013-08-25, accepted in 2013-09-10,  发布年份 2013

【 摘 要 】

Background

Human Schistosoma haematobium infection that causes urinary schistosomiasis occurs in Africa and the eastern Mediterranean, and China is only endemic for S. japonicum. In this report, we reported an imported case with S. haematobium infection returning from Angola to Shaanxi Province, northwestern China, where S. japonicum is not endemic.

Findings

The case was misdiagnosed as ureteral calculus, invasive urothelial carcinoma and eosinophilic cystitis in several hospitals, and was finally diagnosed by means of serological assay followed by microscopic examination of the urine sediment. The patient was then treated with praziquantel, and a satisfactory outcome was obtained.

Conclusions

As S. haematobium is not indigenous to China, most Chinese doctors and medical technicians are unfamiliar with this introduced parasitic disease, therefore, they need to increase the awareness of its existence when they encounter persons who have visited or resided in endemic areas, and the techniques for detection of the parasite, so as to reduce the misdiagnosis. In addition, health education should be given to those who will go to the endemic areas to improve their knowledge and awareness on prevention and control of schistosomiasis haematobia, thereby reducing the risk of exposure to the infested freshwater.

【 授权许可】

   
2013 Hua et al.; licensee BioMed Central Ltd.

【 图 表 】

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