Juliana Arenas Hoyos , Jeff Lawrence Pugach , Lynne M. Eger , Sandy Cope-Yokoyama , Shane F. Batie
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Pediatric epididymal schistosomiasis, challenging diagnosis, and implications
Schistosomiasis is a parasitic infection that may be difficult to diagnose in non-endemic regions and may manifest with epididymal involvement.
Testicular schistosomiasis remains a rare disease. The diagnosis is based on clinical suspicion due to a low degree of specificity when it comes to laboratory tests and imaging studies. Treatment mainstays are anthelminthic medication and excision.
We present the first report of epididymal schistosomiasis in a pediatric patient in the United States. Patients require a definitive histologic diagnosis. It is helpful to obtain a thorough history to elucidate exposure to endemic areas as part of assessment and treatment.
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