Die genitale Bilharziose der Frau : Literaturübersicht und zwei Fallbeschreibungen

Schistosomiasis is among the most important and widespread parasitic diseases. The aim of this paper is to draw attention to this manifestation of a well-known tropical disease which can well affect patients seen in every gynaecologist's consultation room. Lesions due to S. haematobium can be localised in the upper and lower genital tract. The clinical picture of FGS is very varied and the differential diagnosis encompasses other parasitic infections, STDs, tuberculosis and dysplasia/neoplasia. In the lower genital tract, polypoid lesions and ,,sandy patches are the most suspicious findings on inspection, preferably with a colposcope. We propose a diagnostic algorithm that can be followed if a patient presents with a history or complaints suggestive of FGS. The association of cervical cancer with FGS is discussed, as well as FGS as a cofactor in the transmission of HIV. The drug of choice in the therapy of schistosomiasis is praziquantel, but there is no consensus about the adequate dose and length of treatment in FGS. In two case presentations, we point out the importance of FGS as a problem that many of our patients may present with.