Cytologic diagnosis of schistosomiasis in routine urinary specimens. A case report
Clements, M.H.; Oko, T.
Acta Cytologica 27(3): 277-280
1983
ISSN/ISBN: 0001-5547 PMID: 6575543 Document Number: 198114
A voided urine specimen from a 29 yr old-male living in New York (USA) was sent for cytologic study, which revealed 5 schistosome ova, 2 with terminal spines and 1 free miracidium in a cytocentrifuge specimen. The patient, who had been in West Africa 3 yr earlier, underwent cystoscopy, with the finding of bladder mucosal ulcerations. Subsequent cytologic specimens, bladder biopsy and wet-mount preparations established a diagnosis of Schistosoma haematobium infection, which was treated, apparently successfully, with metrifonate. The case is presented to focus attention on the cytologic diagnosis of S. haematobium in routine urinary specimens since the opportunity to make such a diagnosis is increasing in the continental USA as more Americans visit areas of endemic infestation and more residents of those areas immigrate.