429 (Po) Intermittent Haematuria

D. Alber1, A. Altafaja1, D. Gonzalez Bermudez1, P. Simonet Aineto1, M. Beza Fredes2, M. Girones Sainz2
A thirty-year-old patient attends consultation due to an intermittent haematuria.
30 years old Nigerian man who has lived in our country for five years. The patient does not report either familial or major pathological antecedents. He has been suffering from episodes of intermittent haematuria and from occasional micturition for two years, and he has also undergone medical treatments without improvement. Physical examinations, including the genital one- and constants: normal. Complementary examinations: blood count, biochemical tests, x-ray and abdominal scan: normal. Sediment: microscopic haematuria. Stool culture negative.
Nigerian patient presenting the following diagnosis: acute cystitis, prostatitis, occult neoplasms or glomerulonephritis. The symptom's persistence, the normal complementary examinations and the ineffectiveness of the antibiotics make us think that it might be an Imported Disease. The current stool work-up protocol allowed the identification of Schistosoma haematobium eggs. The patient is put on Praziquantel (two doses) and the urine culture gets back to normal, and the patient remains asymptomatic. The schistosomiasis is a helminthiasis that affects more than 300 million people per year. It is the second cause of morbidity in the tropic (after TBC). The definitive diagnosis is based on the finding of adult worm, its eggs or its larvae either in excrements, duodenum liquid, exudates or as in our case, in the urine.