Urinary schistosomiasis detected by chance in India: A case report

Schistosomiasis is a parasitic trematode that is less commonly seen in India. The clinical manifestations range from acute, sub acute and chronic phases. A granulomatous type of lesion formed by Schistosoma hematobium in the lower urinary tract. We present a case of rare neglected tropical infection in this part of Dakshin Kannada. A 66-year-old man presents with history of irritative voiding symptoms, urgency, incontinence, and nocturia of 2 months duration. CT Urogram showed bladder wall thickening. Cystoscopy showed granuloma in the posterolateral wall of the bladder. Urine microscopy picked up Schistosoma hematobium eggs. Bladder biopsy showed chronic inflammatory type of lesion. This is a case of confirmed chronic granulomatous urinary schistosomiasis in a non-endemic region, and successfully treated. Clinicians should become aware of the existence of this parasite in few pockets in India.