Abstract：
Urinary schistosomiasis caused by Schistosoma haematobium worms is endemic to tropical regions where it is the most common cause of hematuria. However, the intermediate snail hosts, Bulinus truncatus, have been described in Portugal, Spain, Sardinia, and Corsica. S. haematobium has long remained exotic to Europe, however, an outbreak of urinary schistosomiasis in Corsica started in 2011 with B. truncatus as the primary intermediate host. We describe the case of a 12-year-old French boy presenting hematuria and dysuria who was diagnosed with urinary schistosomiasis. Urine examination confirmed the presence of viable parasitic ova. He also had a positive serology. Since there was no history of travel to a schistosomiasis endemic region, the probable area of contamination was identified as the south of Corsica where the family had spent their summer holidays 7 months earlier. Two other family members had a positive serology without ova excretion in urine. The patients were treated with praziquantel. In light of these recent locally acquired cases in France, schistosomiasis should be considered in the differential diagnosis of hematuria, especially in patients who have recently visited Corsica.
摘要：
由血吸虫虫引起的尿血吸虫病是热带地区特有的，是血尿的最常见原因。然而,中间蜗牛寄主，截骨小牛，在葡萄牙被描述过，西班牙,撒丁岛,还有科西嘉.美国血吸虫长期以来一直对欧洲充满异国情调，然而,2011年,科西嘉岛开始爆发泌尿血吸虫病,以截短芽孢杆菌为主要中间宿主.我们描述了一个12岁的法国男孩，该男孩表现出血尿和排尿困难，被诊断患有尿血吸虫病。尿液检查证实存在活的寄生虫卵。他的血清学也呈阳性。由于没有血吸虫病流行区的旅行史，可能的污染区域被确定为科西嘉岛的南部，该家庭在7个月前度过了暑假。另外两个家庭成员的血清学阳性，尿液中没有卵子排泄。患者接受吡喹酮治疗。鉴于法国最近发生的这些本地病例，血吸虫病在血尿的鉴别诊断中应考虑，尤其是最近访问过科西嘉的患者。
