Case Summary
A child was referred to the nephrology clinic with several years' history of microscopic hematuria and a single episode of sterile pyuria. The patient reported no other associated symptoms and appeared well overall. Of note, the patient had visited a country in Africa, where they played and bathed in rivers. Their cousins also developed microscopic hematuria, which resolved after being administered an unknown medication.
Urinalysis was remarkable for proteinuria and significant blood but negative for leukocyte esterase and nitrites. Although the white blood cell count was normal, eosinophils were elevated at 23.7%. There were no ova or parasites in the stool. Serology was positive for Schistosoma IgG.
Appl Radiol. 2023;52(3):51-52. © 2023 Anderson Publishing, Ltd.
