Association of Schistosoma mansoni with Infertility in a Sudanese Patient from Schistosomiasis Area of Endemicity: A Case Report

Schistosomaisis is a chronic debilitating infection of humans and animals and hence the disease is of a public health importance. In the present study, a male farmer from Barakat of the Gezera State, a schistosomiasis endemic area in Central Sudan was admitted to the Reproductive Health Care Center (RHCC) in Khartoum, Sudan. The patient complains of history of primary infertility for 18 years with complain of painful ejaculation, he had several semen analysis, all showed a picture of azoospermia and no sperm was detected neither in the sample nor in the pellet after centrifugation. On genital examination both testes are of average size, enlargement of epidedimis on both sides vasa differences were present in both sides. Semen analysis showed that the semen was turbid, infilterated with inflammatory cells. Hence, the patient was diagnosed with infertility due to azoospermia. In addition, numerous Schistosoma mansoni eggs were detected in the semen pellet. This study suggested that physician should consider schistosoma mansoni as a cause of male infertility in schistosomiasis endemic areas.