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Esquistosomiasis genital femenina – diagnóstico diferencial de enfermedades de transmisión sexual: Picor genital y descargas vaginales como indicadores de morbilidad por S. haematobium genital en un estudio croseccional en un área endémica de Zimbabwe
Author(s) -
Kjetland Eyrun Floerecke,
Kurewa Edith Nyaradzai,
Ndhlovu Patricia D.,
Midzi Nicholas,
Gwanzura Lovemore,
Mason Peter R.,
Gomo Exnevia,
Sandvik Leiv,
Mduluza Takafira,
Friis Henrik,
Gundersen Svein Gunnar
Publication year - 2008
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2008.02161.x
Subject(s) - schistosoma haematobium , schistosomiasis , sex organ , medicine , female circumcision , gynecology , tropical disease , cross sectional study , schistosoma , vaginal discharge , immunology , disease , helminths , biology , pathology , schistosoma mansoni , genetics
Summary Objective To examine the association between schistosomiasis and reproductive tract symptoms. Method A cross‐sectional study was conducted in a Schistosoma haematobium ‐endemic area of rural Zimbabwe. A total of 483 permanently resident adult women of Mupfure Ward aged 20–49 were interviewed and examined clinically, each providing three consecutive urine samples. Logistic regression analysis was used to control for sexually transmitted diseases (STDs). Results Women with genital sandy patches had significantly more genital itch ( P = 0.009) and perceived their discharge as abnormal ( P = 0.003). Eighty percent of the women who had genital itch, yellow discharge, and childhood or current waterbody contact had sandy patches. Fifty‐two percent of the women with genital sandy patches did not have detectable S. haematobium ova in urine. Genital schistosomiasis was associated with stress incontinence and pollakisuria, but not with menstrual irregularities, current or previous ulcers, or tumours. Conclusion Genital schistosomiasis may be a differential diagnosis to the STDs in women who have been exposed to fresh water in endemic areas. Because of the chronic nature of the disease in adults, we suggest to pay special attention to the prevention of morbidity.