Simple clinical manifestations of genital schistosoma Haematobium infection in rural Zimbabwean women

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Eyrun Floerecke Kjetland
  • Patricia D. Ndhlovu
  • Takafira Mduluza
  • Exenevia Gomo
  • Lovemore Gwanzura
  • Peter R. Mason
  • Edith Nyaradzai Kurewa
  • Nicholas Midzi
  • Friis, Henrik
  • Svein Gunnar Gundersen

Up to 75% of women with urinary schistosomiasis have Schistosoma haematobium ova in the genitals. This study aimed to describe the prevalence of gynecologic S. haematobium infection and to differentiate the disease from sexually transmitted infections (STIs). Gynecologic and laboratory investigations for S. haematobium and STIs were performed in 527 women between the ages of 20 and 49 in rural Zimbabwe. Genital homogenous yellow and/or grainy sandy patches, the commonest type of genital pathology, were identified in 243 (46%) women. Grainy sandy patches were significantly associated with S. haematobium ova only. Genital S. haematobium ova was also significantly associated with homogenous yellow sandy patches, mucosal bleeding, and abnormal blood vessels. The presence of ova was not a predictor for ulcers, papillomata, leukoplakia, polyps, or cell atypia. Mucosal sandy patches seem to be pathognomonic for S. haemutobium infection in the female genitals. Coexistence of ova and other lesions may not be causal.

TidsskriftAmerican Journal of Tropical Medicine and Hygiene
Udgave nummer3
Sider (fra-til)311-319
Antal sider9
StatusUdgivet - 1 mar. 2005

ID: 232083270