An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs

Schistosoma hematobium infection is an endemic parasitic disease in Africa, which is frequently associated with urinary schistosomiasis. The parasite infection causes epithelial changes and disruption, facilitating the infection by the human papilloma virus and human immunodeficiency virus (HIV). T...

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Main Authors: Alexia Toller, Ana Carolina Scopin, Vanessa Apfel, Karla Calaça Kabbach Prigenzi, Fernanda Kesselring Tso, Gustavo Rubino de Azevedo Focchi, Neila Speck, Julisa Ribalta
Format: Article
Language:English
Published: University of São Paulo 2015-06-01
Series:Autopsy and Case Reports
Subjects:
HIV
Online Access:http://www.revistas.usp.br/autopsy/article/view/107008
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spelling doaj-4519c56a38854cf2866de9baa65e9c0e2020-11-24T21:22:32ZengUniversity of São PauloAutopsy and Case Reports2236-19602015-06-0152An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggsAlexia Toller0Ana Carolina Scopin1Vanessa Apfel2Karla Calaça Kabbach Prigenzi3Fernanda Kesselring Tso4Gustavo Rubino de Azevedo Focchi5Neila Speck6Julisa Ribalta7Departamento de Ginecologia e Obstetrícia - Hospital de São Francisco Xavier - Centro Hospitalar de Lisboa Ocidental, LisboaDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Patologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Patologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SPDepartamento de Ginecologia - Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo/SP Schistosoma hematobium infection is an endemic parasitic disease in Africa, which is frequently associated with urinary schistosomiasis. The parasite infection causes epithelial changes and disruption, facilitating the infection by the human papilloma virus and human immunodeficiency virus (HIV). The authors report the case of a 44-year-old African HIV-positive woman who presented an abnormal routine Pap smear. Colposcopy examination revealed dense acetowhite micropapillary epithelium covering the ectocervix, iodine-negative, an erosion area in endocervical canal, and atypical vessels. Histologic examination of the surgical specimens showed numerous calcified schistosome eggs (probably S. hematobium) and a high-grade cervical intraepithelial neoplasia. The relation between S. hematobium infection and bladder cancer is well known; however, this relationship with cervical cancer remains controversial. The symptoms of schistosomiasis of the female genital tract are rather non-specific, and are often misdiagnosed with other pelvic diseases. The familiarity of health professionals with schistosomiasis of the female genital tract is less than expected, even in endemic regions. Therefore, great awareness of this differential diagnosis in routine gynecological practice is of paramount importance. http://www.revistas.usp.br/autopsy/article/view/107008Schistosoma hematobiumGenital DiseasesFemaleSchistosomiasis hematobiaHIV
collection DOAJ
language English
format Article
sources DOAJ
author Alexia Toller
Ana Carolina Scopin
Vanessa Apfel
Karla Calaça Kabbach Prigenzi
Fernanda Kesselring Tso
Gustavo Rubino de Azevedo Focchi
Neila Speck
Julisa Ribalta
spellingShingle Alexia Toller
Ana Carolina Scopin
Vanessa Apfel
Karla Calaça Kabbach Prigenzi
Fernanda Kesselring Tso
Gustavo Rubino de Azevedo Focchi
Neila Speck
Julisa Ribalta
An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs
Autopsy and Case Reports
Schistosoma hematobium
Genital Diseases
Female
Schistosomiasis hematobia
HIV
author_facet Alexia Toller
Ana Carolina Scopin
Vanessa Apfel
Karla Calaça Kabbach Prigenzi
Fernanda Kesselring Tso
Gustavo Rubino de Azevedo Focchi
Neila Speck
Julisa Ribalta
author_sort Alexia Toller
title An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs
title_short An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs
title_full An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs
title_fullStr An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs
title_full_unstemmed An interesting finding in the uterine cervix: Schistosoma hematobium calcified eggs
title_sort interesting finding in the uterine cervix: schistosoma hematobium calcified eggs
publisher University of São Paulo
series Autopsy and Case Reports
issn 2236-1960
publishDate 2015-06-01
description Schistosoma hematobium infection is an endemic parasitic disease in Africa, which is frequently associated with urinary schistosomiasis. The parasite infection causes epithelial changes and disruption, facilitating the infection by the human papilloma virus and human immunodeficiency virus (HIV). The authors report the case of a 44-year-old African HIV-positive woman who presented an abnormal routine Pap smear. Colposcopy examination revealed dense acetowhite micropapillary epithelium covering the ectocervix, iodine-negative, an erosion area in endocervical canal, and atypical vessels. Histologic examination of the surgical specimens showed numerous calcified schistosome eggs (probably S. hematobium) and a high-grade cervical intraepithelial neoplasia. The relation between S. hematobium infection and bladder cancer is well known; however, this relationship with cervical cancer remains controversial. The symptoms of schistosomiasis of the female genital tract are rather non-specific, and are often misdiagnosed with other pelvic diseases. The familiarity of health professionals with schistosomiasis of the female genital tract is less than expected, even in endemic regions. Therefore, great awareness of this differential diagnosis in routine gynecological practice is of paramount importance.
topic Schistosoma hematobium
Genital Diseases
Female
Schistosomiasis hematobia
HIV
url http://www.revistas.usp.br/autopsy/article/view/107008
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