A 25-year-old man from Nigeria has an incidental finding of Schistosoma haematobium eggs in urine. He is asymptomatic. Ultrasound of the urinary tract...

Question

A 25-year-old man from Nigeria has an incidental finding of Schistosoma haematobium eggs in urine. He is asymptomatic. Ultrasound of the urinary tract is normal. Should he still be treated?

Accepted Answer

Yes; all confirmed S. haematobium infections should be treated with praziquantel regardless of symptoms, to prevent long-term complications including bladder fibrosis, hydronephrosis, and squamous cell carcinoma of the bladder

Answer

No; treatment is only indicated for symptomatic disease

Answer

Only if eosinophilia is present

Answer

Treatment depends on the egg count

Answer

Wait for symptoms to develop before treating

uk-dtmh MCQ (SBA): Treating Asymptomatic Schistosomiasis

A 25-year-old man from Nigeria has an incidental finding of Schistosoma haematobium eggs in urine. He is asymptomatic. Ultrasound of the urinary tract is normal. Should he still be treated?