A Teen’s Mysterious Hematuria

A 13-year-old boy from Mali presents with gross hematuria and significant eosinophilia. Explore the Differential Diagnosis for this classic urological case.

Schistosoma hematobium


A 13-year-old boy from Mali was referred to the pediatric urology clinic with a 3-month history of gross hematuria. He reported no fevers, flank pain, or dysuria. A physical examination was normal. Laboratory studies showed normal kidney function and an absolute eosinophil count of 2660 per cubic millimeter (reference range, 40-200). A urinalysis showed hematuria and pyuria, and a urine culture was negative. Microsopic examination of the urine is shown. What is the most likely diagnosis?

What is the most likely diagnosis?

Balantidium coli
Schistosoma hematobium
Schistosoma mansoni
Strongyloides stercoralis
Trichomonas vaginalis

Eosinophilia, Hematuria, Praziquantel, Schistosoma hematobium, Urogenital Schistosomiasis

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