罕見血吸蟲所引起之膀胱炎：個案報告
郭威廷1、凌永耀1、林嘉祥1,2
1義大醫院 泌尿外科；2義守大學 醫學院
A rare cystitis resulting from schistosomiasis: case report
Wei-Ting Kuo1, Henry Y. Lin 1, Victor C. Lin1,2
1Department of Urology, E-Da Hospital, Kaohsiung, Taiwan
2School of Medicine for International Students, I-Shou University, Kaohsiung, Taiwan
Case report:
This article is about a 34-year-old African man without underlying disease presenting to urology clinics for intermittent hematuria for 1 years. Burning sensation while voiding and frequency were also complained in recent weeks. The patient was in afebrile status during these period of time. The physical examination revealed mild lower abdominal tenderness. The basic urinalysis and blood panel were checked and showed non-specific finding.
However, we found sandy patches over posterior wall of bladder and multiple red patches over bladder wall. We performed bladder cold cup biopsy for pathology confirm. The specimen showed bladder tissue with schistosoma egg in lamina propria. Schistosomiasis related cystitis was impressed, so Praziquantel 2.4g/day was prescribed for parasite infection control. The symptoms improved.