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Renal Function in Urinary Schistosomiasis in the Natal Province of South Africa
Cooppan Rajendran Mohamberry
Cooppan Rajendran Mohamberry
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Naidoo Kotiswari
Naidoo Kotiswari
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Jialal Ishwarlall
Jialal Ishwarlall
Research Institute for Diseases in a Tropical Environment, South African Medical Research Council, P.O. Box 17120, Congella, Republic of South Africa
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Renal function was assessed in 101 schoolchildren with active urinary schistosomiasis by measuring serum creatinine, urate, urea, and B2-microglobulin, urinary B2 microglobulin, and the glomerular filtration rate. Glomerular function in all subjects was normal as were serum creatinine, urate, and urea levels. Serum B2-microglobulin was elevated in only 8% of subjects while urinary B2-microglobulin only was raised in 7% of subjects, indicating proximal tubular dysfunction, a previously unreported feature in urinary schistosomiasis. Urinary tract abnormalities were found in 43% of subjects consenting to an excretory urogram but no correlation with biochemical parameters of renal function was noted. Serum angiotensin converting enzyme level measured in 70 subjects was elevated in 11% of subjects and was regarded as a possible measure of increased granulomatous activity.
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