Frequent Swimming in Medicine / Internal Medicine — 30yo Man | Infectious Diseases | SMLE Q#17164

SMLE Question #17164

Medicine / Internal Medicine Infectious Diseases

Objective: OBJ-349

Last updated: February 2026
A 30-year-old man returns to Saudi Arabia after a 3-week backpacking trip in sub-Saharan Africa with frequent swimming in freshwater lakes and slow-moving rivers. Two months later, he develops painless terminal hematuria and mild suprapubic discomfort without dysuria, fever, or flank pain. Which parasite is most likely responsible for this presentation?

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