How is urinary schistosomiasis (bilharzia) diagnosed?

Updated: Sep 20, 2018
  • Author: Shadab Hussain Ahmed, MD, AAHIVS, FACP, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The following tests are performed in the diagnosis of urinary schistosomiasis:

  • Urinary analysis and culture for hematuria, proteinuria, leukocyturia, and associated urinary infections

  • Urinary syringe filtration techniques - Provide a quantitative estimate of eggs in the urine

  • Blood chemistries, including renal function tests - Should include blood cultures for Salmonella bacteremia and a CBC for anemia and eosinophilia (a Salmonella urinary tract infection should always lead to suspicion of schistosomiasis)


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