Background: Female genital schistosomiasis (FGS) is a neglected manifestation of Schistosoma haematobium infection that frequently mimics sexually transmitted infections (STIs), leading to underdiagnosis and delayed management. Co-existing genital infections may worsen genital morbidity. Case Presentation: A 23-year-old nulliparous woman presented during a community-based screening in Abuja, Nigeria, with persistent vaginal discharge, vulvar pruritus, and prior first-trimester miscarriage. Colposcopy showed sandy patches, homogenous yellow lesions, and abnormal vasculature suggestive of FGS and lesions on the cervix having strawberry pattern. Wet mount microscopy confirmed Trichomonas vaginalis. She received praziquantel, metronidazole, and doxycycline with symptom resolution. Conclusion: Integrated screening for parasitic and sexually transmitted infections improves diagnosis and reduces reproductive morbidity in endemic settings.
Fatima Inusa Anga (Wed,) studied this question.