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Case Reports: Rare disease
Urinary schistosomiasis: a case of late presentation
  1. Marc Grech1,
  2. Gerald Busuttil1,
  3. Carla Doreen Gauci2 and
  4. Miljan Milic2
  1. 1Urology Ward 2, Mater Dei Hospital, Msida, Malta
  2. 2Department of Surgery, Mater Dei Hospital, Msida, Malta
  1. Correspondence to Dr Gerald Busuttil; gerald.busuttil{at}gov.mt

Abstract

A man in his early 20s, originally from north-central Africa, presented with a high incidental serum creatinine level. A non-contrast CT scan was taken which was suggestive of urinary schistosomiasis. The diagnosis was confirmed on obtaining biopsies from the bladder. Due to bilateral hydronephrosis, an attempt at bilateral renal decompression was made. This failed to improve renal function. He eventually underwent a right nephrectomy. He is in end-stage renal failure, undergoing long-term dialysis, and has been placed on the waiting list for renal transplant.

  • urinary tract infections
  • chronic renal failure
  • urological surgery

https://doi.org/10.1136/bcr-2021-246966

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    Footnotes

    • Contributors MG, as the first author, collected information regarding the patient, performed research regarding the condition and contributed to the write-up. GB provided review of the paper and valuable specialist advice. CDG aided in the write-up. MM aided in obtaining histopathological images and provided advice and comments on the microscopic aspect of the disease.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.