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Case Report
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| Vulvar bilharzia on nine-year old girl: A case report | ||||||
| Pauline Dioussé1, Haby Dione1, Mariama Bammo1, Chérif Dial2, Mariétou Thiam3, Aissatou Amy Diamé4, Bernard Marcel Diop3, Mamadou Mourtalla Ka3 | ||||||
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1MD, Department of Dermatology-Venereology, Faculty of Health Sciences, Thies University, Thies, Senegal.
2MD, Department of pathology, University Cheikh Anta Diop, Dakar, Senegal. 3MD, Department of Health Sciences, Thies University, Senegal. 4MD, Department of Urology, Regional Hospital, Thies, Senegal. | ||||||
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| Dioussé P, Dione H, Bammo M, Dial C, Thiam M, Diamé AA, Diop BM, Ka MM. Vulvar bilharzia on nine-year old girl: A case report. Int J Case Rep Images 2016;7(11):724–728. |
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Abstract
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Introduction:
In Senegal, West Africa, the overall prevalence of schistosomiasis varies from 0.3 to 1%. A major focus of schistosomiasis urogenital is known around the banks of the Senegal River where the average infestation rate reached 71.8%. Vulvar location is rare, the case of uro-digestive is even more so.
Case Report: It was a girl aged 9, from a village situated on the banks of the Senegal River, received for swollen labia lasting for three years. There was a notion of contact with the river water. At dermatological examination, she had an itchy swelling of the large labia, small labia, clitoris, the groin with a palpation papulonodular, fibrous. There was hyper eosinophilia. Dermal histology showed under an acanthotic epidermis, a granulomatous inflammatory reaction around the dermis of an infestation of viable eggs of Schistosoma species terminal spur characteristic of Schistosoma haematobium. The abdominal-pelvic ultrasound revealed bilateral ureteral hydronephrosis The computed tomography urography without product injection noted an irregular parietal calcification of the bladder, ureters under pyelics, urethra, rectum, sigmoid, and the left colon with segmental dilatation of the ureters. She was put under praziquantel (40 mg/kg in two spaced taken 15 days). The outcome was favorable with a clear regression of swelling after one month. Resection of residual disease was made. Conclusion: We reported a vulvar bilharzia, remarkable by a clinical presentation, an urogenital tract case and the multidisciplinary management. | |
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Keywords:
Children, Schistosoma haematobium, Vulvar
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Author Contributions
Pauline Dioussé – 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 Haby Dione – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Mariama Bammo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Chérif Dial – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mariétou Thiam – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Aissatou Amy Diamé – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Bernard Marcel Diop – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mamadou Mourtalla Ka – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Pauline Dioussé et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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