Case Report
 
Incidental finding in a patient with trauma and hematuria
Shahnawaz Amdani1, Apeksha Sathyaprasad1, Aurea P Thomas1, Magda Mendez2, Elita Gose-Balakrishnan3, Shefali Khanna4
1Pediatric Resident, Lincoln Medical and Mental Health Center, 234E 149th Street, Bronx, New York - 10451, USA.
2Program Director, Pediatrics, Lincoln Medical and Mental Health Center, 234E 149th Street, Bronx, New York - 10451, USA.
3Pediatrician, Lincoln Medical and Mental Health Center, 234E 149th Street, Bronx, New York - 10451, USA.
4Chief of Service, Pediatrics, Lincoln Medical and Mental Health Center, 234E 149th Street, Bronx, New York - 10451, USA.

doi:10.5348/ijcri-2012-10-193-CR-6

Address correspondence to:
Shahnawaz Amdani
PGY-1, Pediatric Resident, Lincoln Medical and Mental Health Center
234E 149th Street, Bronx
New York - 10451
USA
Phone: 917-855-2296
Email: amdanishahnawaz@hotmail.com

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How to cite this article:
Amdani S, Sathyaprasad A, Thomas AP, Mendez M, Gose-Balakrishnan E, Khanna S. Incidental finding in a patient with trauma and hematuria. International Journal of Case Reports and Images 2012;3(10):24–27.


Abstract
Introduction: Schistosomiasis is the second (to malaria) most important human parasitic disease in tropical and subtropical regions infecting more than 100 million people in sub- Saharan Africa alone.
Case Report: We report a case of 17-year-old male who was brought to the Emergency room after being assaulted by his classmates. Apart from the facial injuries, patient had hematuria, which prompted the physicians to undertake additional testing revealing that the patient had Schistosoma hematobium infection.
Conclusion: Microscopic examination of urine and stool samples for parasite eggs are currently the 'gold' standard field method of diagnosing schistosomiasis. Praziquantel (PZQ) has been available as an effective treatment of schistosomiasis for nearly 30 years. To date, there is no convincing clinical evidence for schistosome resistance to PZQ. Conclusion: Despite the public health prominence of schistosomiasis in Africa and the availability of a cheap and efficacious drug to treat infected people, less than 5% of the infected population is receiving treatment. An integrated strategy, which emphasizes health education, access to clean water and adequate sanitation, mechanization of agriculture, and fencing of water buffaloes, along with mass chemotherapy for both human and livestock, have been suggested to be carried out in parallel to control the infection sources and to stop schistosome transmission.

Key Words: Schistosome, Hematuria, Praziquantel, Calcification


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Author Contributions:
Shahnawaz Amdani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Apeksha Sathyaprasad – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Aurea P Thomas – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Magda Mendez – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Elita Gose-Balakrishnan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Shefali Khanna – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Shahnawaz Amdani et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)