F&S reports · 2020
Schistosoma haematobium ova in human semen: a case report.
СтатьяНазвание и аннотация: Перевод в очереди
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Chohan Kazim R, Kling Crystal A, Byler Timothy K
Аннотация
OBJECTIVE: To report a rare case of schistosomiasis observed during semen evaluation.
DESIGN: Case report.
SETTING: University hospital.
PATIENTS: A 30-year-old man referred for semen analysis.
INTERVENTIONSS: None.
MAIN OUTCOME MEASURESS: Poor sperm motility and viability.
RESULTS: The patient produced 9.8 mL of brown colored semen with a bad odor. Total and progressive sperm motility were 9% and 2%, respectively. Sperm concentration was 112 million/mL. Microscopic semen evaluation showed slight sperm agglutination, a large number of Schistosoma haematobium ova, extensive debris, and a large numberot of amorphous cells. Approximately 20 million/mL of neutrophils were observed in the ejaculate. The sperm viability was extremely low (13%). Sperm morphology was 6% normal, and most abnormal sperm had coiled tails in addition to other abnormalities.
CONCLUSIONS: A microscopic examination of semen from suspected Schistosoma haematobium-infected patients may not only help in confirming diagnosis but may also highlight the underlying infertility due to this infestation. Such cases are rarely observed in andrology laboratories; therefore, it is important to train all testing staff on rare semen samples.
DESIGN: Case report.
SETTING: University hospital.
PATIENTS: A 30-year-old man referred for semen analysis.
INTERVENTIONSS: None.
MAIN OUTCOME MEASURESS: Poor sperm motility and viability.
RESULTS: The patient produced 9.8 mL of brown colored semen with a bad odor. Total and progressive sperm motility were 9% and 2%, respectively. Sperm concentration was 112 million/mL. Microscopic semen evaluation showed slight sperm agglutination, a large number of Schistosoma haematobium ova, extensive debris, and a large numberot of amorphous cells. Approximately 20 million/mL of neutrophils were observed in the ejaculate. The sperm viability was extremely low (13%). Sperm morphology was 6% normal, and most abnormal sperm had coiled tails in addition to other abnormalities.
CONCLUSIONS: A microscopic examination of semen from suspected Schistosoma haematobium-infected patients may not only help in confirming diagnosis but may also highlight the underlying infertility due to this infestation. Such cases are rarely observed in andrology laboratories; therefore, it is important to train all testing staff on rare semen samples.