The ultrasonographic features of SCHISTOSOMIASIS HAMEMATOBIUM in urinary tract in S udanese population .


Research type: Research Paper

Authors: Mostafa, Sediek Mohammed .

Abstract: SCHISTOSOMIASIS HAEMATOBIUM infection is common in the West of Sudan. It is a disease primarily of the lower urinary tract, the kidneys are affected in the late stage. The aim of the study is to determine the prevalence of infection , of SCHISTOSOMIASIS HAEMATOBIUM in AL-Rahad area, Northern Kordfan and to assess morbidity in the lower urinary tract using ultrasonography. 203 individuals from a village in the area were selected randomly. The inclusion criteria was haematuria, Urine and stools were collected. Medical history, physical examinations were conducted. Then urne and stools were examined. Ultrasonographic examinations were conducted on all individuals irrespective of the result of the urine examination. The overall prevalence of SCHISTOSOMA HAEMATOBIUM was found to be positive for SCHISTOSOMA MANSONI. ULtrasonographic examinations demonstrated that, the overall prevalance of urinary bladder lesions 83.5 percent. Inner wall irrigularity 36.2 percent and masses 14.9 percent. The overall kideny lesions were 30.5 percent and ureteric involvement was 5 percent. Urinary bladder calcification was not noted in any of the study sample. Periportal fibrosis was not detected. The findings of the present study are summerized as follows: The prevalence of Schistosomal lesion are common in a bilharzia endemic region. Morbidity as assessed by ultrasoud proved the presence of bilharzial lesions even when the urine examination was negative. The study confirms previously noted observations that bilharzia is a disease of lower urinary tract. Ultrasound is an effective tool, easy to operate and acceptable to the individuals in field studies which assessed the morbidity of SCHISTOSOMA HAEMATOBIUM, SCHISTOSOMA HAEMATOBIUM infection does not causes morbidity in the liver. From this study we concluded that SCHISTOSOMA HAEMATOBIUM causes lower urinary tract morbidity and should be treated to prevent the occurrence of renal failure .