Schistosomiasis of the lower reproductive tract without egg excretion in urine.

G Poggensee Institut für Tropenmedizin, Charité, Humboldt-Universität zu Berlin, Germany.

Search for other papers by G Poggensee in
Current site
Google Scholar
PubMed
Close
,
I Kiwelu Institut für Tropenmedizin, Charité, Humboldt-Universität zu Berlin, Germany.

Search for other papers by I Kiwelu in
Current site
Google Scholar
PubMed
Close
,
M Saria Institut für Tropenmedizin, Charité, Humboldt-Universität zu Berlin, Germany.

Search for other papers by M Saria in
Current site
Google Scholar
PubMed
Close
,
J Richter Institut für Tropenmedizin, Charité, Humboldt-Universität zu Berlin, Germany.

Search for other papers by J Richter in
Current site
Google Scholar
PubMed
Close
,
I Krantz Institut für Tropenmedizin, Charité, Humboldt-Universität zu Berlin, Germany.

Search for other papers by I Krantz in
Current site
Google Scholar
PubMed
Close
, and
H Feldmeier Institut für Tropenmedizin, Charité, Humboldt-Universität zu Berlin, Germany.

Search for other papers by H Feldmeier in
Current site
Google Scholar
PubMed
Close
Restricted access

The individual and public health impact of female genital schistosomiasis (FGS) has been studied and FGS as a risk factor for acquiring human immunodeficiency virus is discussed. In a community-based study in Tanzania, 40% of the women of child-bearing age (n=543) showed excretion of Schistosoma haematobium eggs in the urine (median=2.2 eggs/10 ml of urine) and 32% (n=263) had S. haematobium eggs in their cervical tissue. Urinary and genital schistosomiasis coexisted in 62% of the women, but S. haematobium eggs were found in the cervix without detectable egg excretion in the urine in 23%. Only 43% of the FGS cases had hematuria. Since FGS frequently exists in women with scanty or no egg excretion in the urine and because this disease manifestation is a considerable individual and public health hazard in S. haematobium-endemic areas, mass treatment targeted to women of child-bearing age should be considered.

Author Notes

Save