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

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

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

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

^*Corresponding author for this work

Lifecourse Nutrition & Health

81 Citations (Scopus)

Abstract

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.

Original language	English
Journal	American Journal of Tropical Medicine and Hygiene
Volume	72
Issue number	3
Pages (from-to)	311-319
Number of pages	9
ISSN	0002-9637
Publication status	Published - 1 Mar 2005

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title = "Simple clinical manifestations of genital schistosoma Haematobium infection in rural Zimbabwean women",

abstract = "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.",

author = "Kjetland, {Eyrun Floerecke} and Ndhlovu, {Patricia D.} and Takafira Mduluza and Exenevia Gomo and Lovemore Gwanzura and Mason, {Peter R.} and Kurewa, {Edith Nyaradzai} and Nicholas Midzi and Henrik Friis and Gundersen, {Svein Gunnar}",

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AU - Kjetland, Eyrun Floerecke

AU - Ndhlovu, Patricia D.

AU - Mduluza, Takafira

AU - Gomo, Exenevia

AU - Gwanzura, Lovemore

AU - Mason, Peter R.

AU - Kurewa, Edith Nyaradzai

AU - Midzi, Nicholas

AU - Friis, Henrik

AU - Gundersen, Svein Gunnar

PY - 2005/3/1

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N2 - 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.

AB - 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.

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M3 - Journal article

C2 - 15772328

AN - SCOPUS:18244406316

SN - 0002-9637

VL - 72

SP - 311

EP - 319

JO - Journal. National Malaria Society

JF - Journal. National Malaria Society

IS - 3

ER -

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

Abstract

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