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Figure 1. An eight-year-old boy was referred to the nephrology clinic with a two-year history of painless, gross macroscopic hematuria. He had recently arrived from Somalia and stated through an interpreter that with each urination he passed bright red urine. He had no other symptoms. His physical examination was normal. A urinary dipstick test was positive for protein (++) and blood (+++). Although schistosomiasis is not thought to occur in Somalia, we confirmed the diagnosis by examining the urine sediment. The figure shows a longitudinal view of an ovum in the urine. The terminal spine is characteristic of the . . . [Full Text of this Article] |
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