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Volume 350:1687-1688 April 15, 2004 Number 16
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Case 39-2003: A Woman with Gross Hematuria

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 by Heney, N. M.
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To the Editor: Gross hematuria in a 33-year-old woman with a bladder-wall mass, described by Heney and Young (Dec. 18 issue),1 should raise the suspicion not only of tumors but also of parasitic infestation with Schistosoma haematobium and its sequelae. Determining whether there was a history of travel to sub-Saharan Africa, an area where this infection is endemic, would be important. Schistosomiasis is still a major helminthic infection and an important public health problem in many nonindustrialized countries.2

Urinary tract disease is characteristic of infection with S. haematobium.3 Hematuria may be the first sign of established disease and is . . . [Full Text of this Article]




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