Scholarlink

Background <p>Schistosomiasis is a neglected tropical disease caused by trematode parasites of the genus <i>Schistosoma</i>. Female genital schistosomiasis (FGS), most often due to <i>S. haematobium</i>, is underdiagnosed and rarely involves the vulva. Its nonspecific manifestations frequently cause misdiagnosis in resource-limited settings.</p> Case presentation <p>We report a 27-year-old multiparous Somali woman with an 11-month history of recurrent vulvar itching, persistent lesions, dyspareunia, and vaginal discharge. She was initially misdiagnosed with vaginal candidiasis without improvement. Examination revealed a firm vulvar lesion with localized edema. Laboratory tests showed eosinophilia, hematuria, leukocyturia, and pyuria. Histopathology of a vulvar biopsy confirmed <i>S. haematobium</i> ova with granulomatous inflammation. The patient was treated with praziquantel (40&#xa0;mg/kg), achieving full symptom resolution and normalization of tissue architecture on follow-up biopsy.</p> Conclusion <p>Vulvar schistosomiasis is an uncommon FGS manifestation. This first documented Somali case underscores the importance of considering FGS in persistent vulvar lesions in endemic regions.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Female genital schistosomiasis presenting with nonspecific symptoms: diagnostic challenges of vulvar schistosomiasis in a resource-limited setting—a case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月21日

查看全文
  • Aweis Abdullahi Sheik,
  • Abdisalam Ismail Hassan,
  • Eid Mohamed Jama,
  • Abdijalil Abdullahi Ali,
  • Ahmed Muhammad Bashir

摘要

Background

Schistosomiasis is a neglected tropical disease caused by trematode parasites of the genus Schistosoma. Female genital schistosomiasis (FGS), most often due to S. haematobium, is underdiagnosed and rarely involves the vulva. Its nonspecific manifestations frequently cause misdiagnosis in resource-limited settings.

Case presentation

We report a 27-year-old multiparous Somali woman with an 11-month history of recurrent vulvar itching, persistent lesions, dyspareunia, and vaginal discharge. She was initially misdiagnosed with vaginal candidiasis without improvement. Examination revealed a firm vulvar lesion with localized edema. Laboratory tests showed eosinophilia, hematuria, leukocyturia, and pyuria. Histopathology of a vulvar biopsy confirmed S. haematobium ova with granulomatous inflammation. The patient was treated with praziquantel (40 mg/kg), achieving full symptom resolution and normalization of tissue architecture on follow-up biopsy.

Conclusion

Vulvar schistosomiasis is an uncommon FGS manifestation. This first documented Somali case underscores the importance of considering FGS in persistent vulvar lesions in endemic regions.