Evidence map›Paper›PMID 40208908›Full record

ArticlePLoS neglected tropical diseases2025

Point-of-care ultrasound reveals extensive pathology in Gabonese preschool-age children with urogenital schistosomiasis.

Jonathan Remppis, Anais Verheyden, Ayten Sultanli, Amaya Lopez Bustinduy, Tom Heller, Ayola Akim Adegnika, Martin Peter Grobusch, Michael Ramharter, Elizabeth Joekes, Sabine Bélard

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jonathan RemppisInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.ORCID 0000-0001-7493-5878
Anais VerheydenCentre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
Ayten SultanliInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Amaya Lopez BustinduyDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Tom HellerLighthouse Clinic, Kamuzu Central Hospital, Lilongwe, Malawi.
Ayola Akim AdegnikaInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Martin Peter GrobuschInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.
Michael RamharterCentre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
Elizabeth JoekesDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Sabine BélardInstitute of Tropical Medicine, University of Tübingen, Tübingen, Germany.

Funding

German Center for Infection Research (DZIF)
6 · The paper itself

Abstract

backgroundHistorically, urinary tract pathology caused by S. haematobium infection was thought to affect predominantly school-age children (SAC) and adults. Increasing availability of ultrasound data from endemic areas demonstrates that even younger children develop potentially irreversible pathology. METHODOLOGY/PRINCIPAL

findingsPoint-of-care ultrasound for urinary schistosomiasis and urine microscopy were performed across age groups in 105 patients with symptomatic urogenital schistosomiasis in Lambaréné, Gabon. Of 96 ultrasound scans with sufficient image quality, bladder wall thickening > 5mm was found in 9/20 (45%) preschool-age children (PSAC), 29/51 (57%) SAC and 7/25 (28%) adults. Upper urinary tract pathology was found in 19/90 (21%) patients across age groups, up from three years of age. Urine egg counts were highest in PSAC, with high-intensity infection (≥ 50 eggs/10 ml urine) in 19/24 (79%) and hyper-infection (≥ 500 eggs/10 ml urine) in 10/24 (42%). Bladder wall thickening > 5mm and upper urinary tract pathology correlated significantly with high-intensity infection with crude odds ratios of 8.6 (95% CI 3.1-23.8; p<0.001) and 6.6 (95% CI 1.4-30.7; p=0.02), respectively. Three months after praziquantel treatment, parasitology showed a cure rate of 51% and egg reduction rate of 95%, while bladder wall thickening and upper urinary tract pathology persisted in 12/41 (29%) and 7/12 (58%) patients. CONCLUSIONS/SIGNIFICANCE: A high proportion of PSAC in areas endemic for urogenital schistosomiasis already have detectable urinary tract pathology. Our findings highlight the urgent need to include this age group in mass drug administration programs, as recommended now by WHO. Further, particular attention should be paid to individual patient care.

Indexed as

Point-of-Care SystemsSchistosomiasis haematobiaAdolescentAdultAnimalsChildChild, PreschoolFemaleGabonHumansInfantMaleParasite Egg CountSchistosoma haematobiumUltrasonographyUrinary Bladder

Identifiers

PMID40208908
PMCPMC12052205

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.