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Am. J. Trop. Med. Hyg., 59(5), 1998, pp. 782-783
Copyright © 1998 by The American Society of Tropical Medicine and Hygiene

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Right arrow Schistosomiasis
American Journal of Tropical Medicine and Hygiene, Vol 59, Issue 5, 782-783
Copyright © 1998 by American Society of Tropical Medicine and Hygiene

Research Articles


Schistosomiasis of the lower reproductive tract without egg excretion in urine

G Poggensee, I Kiwelu, M Saria, J Richter, I Krantz, and H Feldmeier

The individual and public health impact of female genital schistosomiasis (FGS) has been studied and FGS as a risk factor for acquiring human immunodeficiency virus is discussed. In a community-based study in Tanzania, 40% of the women of child-bearing age (n=543) showed excretion of Schistosoma haematobium eggs in the urine (median=2.2 eggs/10 ml of urine) and 32% (n=263) had S. haematobium eggs in their cervical tissue. Urinary and genital schistosomiasis coexisted in 62% of the women, but S. haematobium eggs were found in the cervix without detectable egg excretion in the urine in 23%. Only 43% of the FGS cases had hematuria. Since FGS frequently exists in women with scanty or no egg excretion in the urine and because this disease manifestation is a considerable individual and public health hazard in S. haematobium-endemic areas, mass treatment targeted to women of child-bearing age should be considered.


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