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

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, no...

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Autores principales: Hua, Hai-Yong, Wang, Wei, Cao, Guo-Qun, Tang, Feng, Liang, You-Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3848274/
https://www.ncbi.nlm.nih.gov/pubmed/24020375
http://dx.doi.org/10.1186/1756-3305-6-260
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author Hua, Hai-Yong
Wang, Wei
Cao, Guo-Qun
Tang, Feng
Liang, You-Sheng
author_facet Hua, Hai-Yong
Wang, Wei
Cao, Guo-Qun
Tang, Feng
Liang, You-Sheng
author_sort Hua, Hai-Yong
collection PubMed
description 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.
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spelling pubmed-38482742013-12-04 Improving the management of imported schistosomiasis haematobia in China: lessons from a case with multiple misdiagnoses Hua, Hai-Yong Wang, Wei Cao, Guo-Qun Tang, Feng Liang, You-Sheng Parasit Vectors Short Report 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. BioMed Central 2013-09-11 /pmc/articles/PMC3848274/ /pubmed/24020375 http://dx.doi.org/10.1186/1756-3305-6-260 Text en Copyright © 2013 Hua et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Short Report
Hua, Hai-Yong
Wang, Wei
Cao, Guo-Qun
Tang, Feng
Liang, You-Sheng
Improving the management of imported schistosomiasis haematobia in China: lessons from a case with multiple misdiagnoses
title Improving the management of imported schistosomiasis haematobia in China: lessons from a case with multiple misdiagnoses
title_full Improving the management of imported schistosomiasis haematobia in China: lessons from a case with multiple misdiagnoses
title_fullStr Improving the management of imported schistosomiasis haematobia in China: lessons from a case with multiple misdiagnoses
title_full_unstemmed Improving the management of imported schistosomiasis haematobia in China: lessons from a case with multiple misdiagnoses
title_short Improving the management of imported schistosomiasis haematobia in China: lessons from a case with multiple misdiagnoses
title_sort improving the management of imported schistosomiasis haematobia in china: lessons from a case with multiple misdiagnoses
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3848274/
https://www.ncbi.nlm.nih.gov/pubmed/24020375
http://dx.doi.org/10.1186/1756-3305-6-260
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