Atypical Presentation of Urinary Schistosomiasis

Abstract

Schistosomiasis or Bilharziasis is a water-borne parasitic disease which affects different organs depending on species involved. Urinary schistosomiasis is diagnosed mainly by the presence of urinary complaints, urinary excretion of parasite eggs and their presence in bladder as seen on histopathology along with changes on cystoscopy. We present a case of an asymptomatic adult Indian female with long standing history of passing adult worms in urine but lack of eggs. The worms were identified as Schistosoma and the patient was treated with Praziquantel. She came from an area which is not known to be endemic for Schistosoma.