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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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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. |
format | Online Article Text |
id | pubmed-3848274 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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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