1
|
Davoodi L, Soleymani E, Oladi Z, Azar SS, Parandin F, Mizani A, Mirbadie SR, Hajizadeh F, Fakhar M. Vulvovaginitis due to Enterobius vermicularis in a girl and epidemic enterobiasis in her family. Clin Case Rep 2024; 12:e8902. [PMID: 38725928 PMCID: PMC11079541 DOI: 10.1002/ccr3.8902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 04/23/2024] [Accepted: 04/25/2024] [Indexed: 05/12/2024] Open
Abstract
Key Clinical Message Here we present a case of a 4-year-old girl who suffered from vulvovaginitis caused by Enterobius vermicularis. All members of her family were also infected by this helminth. Treatment with mebendazole was administered to all family members and it was found that the entire family had been cured. Abstract Vulvovaginitis, an inflammation of the vulvovaginal mucous membranes, is a common reason for pediatric gynecology consultations. One of the causes of this condition is a parasitic worm known as Enterobius vermicularis (E. vermicularis). In girls, adult worms can infiltrate the vagina and release eggs, leading to the development of vulvovaginitis. Furthermore, these worms have the ability to invade the endometrial cavity too. Here we present a case of a 4-year-old girl who suffered from vulvovaginitis caused by E. vermicularis. All members of her family were also infected by this parasitic helminth. In the vaginal sample, apart from the eggs, the female adult worm was observed under the microscope. Treatment with mebendazole was administered to all family members, and their progress was followed for a period of 3 weeks, during which it was found that the entire family had been cured. This patient experienced significant improvement in symptoms related to severe anxiety, nervousness, vaginal inflammation, itching, and vulvovaginitis caused by E. vermicularis. To prevent infection by E. vermicularis, it is crucial to disinfect underwear and bed sheets. In kindergartens, the spread of this parasite should not be underestimated, and asymptomatic individuals who have been exposed to infected persons should receive treatment to prevent an epidemic. Maintaining cleanliness and hygiene, especially after using the toilet, is of the most importance, particularly for girls who are more susceptible to E. vermicularis infection. Additionally, it is essential for all family members to be aware of the transmission routes of this parasite.
Collapse
Affiliation(s)
- Lotfollah Davoodi
- Department of Infectious Diseases, Faculty of MedicineAntimicrobial Resistance Research Center, Mazandaran University of Medical SciencesSariIran
| | - Eissa Soleymani
- Department of Parasitology, Toxoplasmosis Research CenterCommunicable Diseases Institute, Mazandaran University of Medical SciencesSariIran
| | - Ziaeddin Oladi
- Department of Internal Medicine, Faculty of MedicineMazandaran University of Medical SciencesSariIran
| | - Shadi Shayesteh Azar
- Department of Infectious Diseases, Faculty of MedicineAntimicrobial Resistance Research Center, Mazandaran University of Medical SciencesSariIran
| | - Fatemeh Parandin
- Research Center for Environmental Determinants of Health (RCEDH)Health Institute, Kermanshah University of Medical SciencesKermanshahIran
| | - Azadeh Mizani
- Department of ParasitologyPasteur Institute of IranTehranIran
| | | | - Fatemeh Hajizadeh
- Department of Parasitology, Toxoplasmosis Research CenterCommunicable Diseases Institute, Mazandaran University of Medical SciencesSariIran
| | - Mahdi Fakhar
- Iranian National Registry Centre for Lophomoniasis and ToxoplasmosisImam Khomeini Hospital, Mazandaran University of Medical SciencesSariIran
| |
Collapse
|
2
|
Takač I, Kavalar R, Lovrec MR, Lovrec VG. Concomitant ectopic Enterobius vermicularis infection in uterine cervical cancer. BMC Womens Health 2024; 24:265. [PMID: 38678281 PMCID: PMC11055370 DOI: 10.1186/s12905-024-03073-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 04/03/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND Enterobius vermicularis (E. vermicularis), also referred to as pinworm, is a widespread human intestinal parasite which predominantly occurs in young children, making their caretakers a population at risk for the transmission of this helminth. It can occasionally affect extraintestinal organs and tissues, including the female genital tract. Infestation can be asymptomatic or manifest as different kinds of gynaecological disorders, such as pelvic inflammation mimicking tumours, abnormal uterine bleeding, or vaginitis. Diagnosis is made by identifying ova in the sample collected from the perineal skin using a transparent adhesive tape or microscopic examination of resected tissue. Mebendazole is the first-line medication and should also be administered to all household members. CASE PRESENTATION We present a case of a patient who had undergone surgery for invasive cervical cancer with an accidental finding of E. vermicularis eggs in the cervix. CONCLUSIONS Although not very common, infestation with E. vermicularis should be considered in differential diagnoses of various gynaecological disorders accompanied by histological findings of granulomatous inflammation.
Collapse
Affiliation(s)
- Iztok Takač
- Division for Gynecology and Perinatology, University Medical Centre Maribor, Ljubljanska ul. 5, Maribor, 2000, Slovenia
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Maribor, Maribor, 2000, Slovenia
| | - Rajko Kavalar
- Department of Pathology, University Medical Centre Maribor, Maribor, 2000, Slovenia
| | - Matija Rudolf Lovrec
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Maribor, Maribor, 2000, Slovenia
| | - Vida Gavrić Lovrec
- Division for Gynecology and Perinatology, University Medical Centre Maribor, Ljubljanska ul. 5, Maribor, 2000, Slovenia.
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Maribor, Maribor, 2000, Slovenia.
| |
Collapse
|
3
|
Al-Shouli ST, Barry M, Binkhamis K, AlHogail N, Alafaleq NO, Dufailu OA, Aljerian K. Fatal Case of a Child Harboring Enterobius vermicularis. Healthcare (Basel) 2023; 11:healthcare11060917. [PMID: 36981574 PMCID: PMC10048790 DOI: 10.3390/healthcare11060917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 03/19/2023] [Accepted: 03/20/2023] [Indexed: 03/30/2023] Open
Abstract
Enterobius vermicularis is a threadlike parasite also known as "pinworms". It is the most common helminth infection, affecting the gastrointestinal tracts of children worldwide, although it seldom causes any fatalities. Enterobius vermicularis infections are usually asymptomatic and may only cause anal pruritis, with occasional reported cases of ectopic migration into the appendix or the female genital tract by adult pinworms. Here, we report a case of a 15-year-old girl who presented to the emergency department with high-grade fever, vomiting, and vague abdominal pain for three days. She was diagnosed with acute abdominal pain and underwent emergency ileocecectomy, but died the following day. Pathological examination of ileocecal junction showed intraluminal and intramural Enterobius vermicularis, which were attributed as the cause of her death in the absence of any other pathologies. Death due to Enterobius vermicularis is rare; this case calls for clinicians to be vigilant in exploring Enterobius vermicularis infections in patients with undiagnosed acute abdominal pain, since it could be a potential cause of death.
Collapse
Affiliation(s)
- Samia T Al-Shouli
- Immunology Unit, Pathology Department, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia
| | - Mazin Barry
- Infectious Disease Unit, Department of Medicine, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia
| | - Khalifa Binkhamis
- Medical Microbiology Unit, Department of Pathology, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia
| | - Nourah AlHogail
- College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia
| | - Nouf Omar Alafaleq
- Department of Biochemistry, College of Science, King Saud University, Riyadh 12372, Saudi Arabia
| | - Osman Adamu Dufailu
- Faculty of Engineering and Science, University of Greenwich, Central Avenue, Chatham Maritime, Kent ME4 4TB, UK
| | - Khaldoon Aljerian
- Forensic Medicine Unit, Department of Pathology, College of Medicine, King Saud University, Riyadh 12372, Saudi Arabia
| |
Collapse
|
4
|
Bose S, Mondal T, Das SK, Chakraborty A, Ghosh S, Pramanik N, Ghosh T, Maji A. Rare presentations of ocular enterobiasis - Case reports. Trop Parasitol 2022; 12:126-129. [PMID: 36643987 PMCID: PMC9832498 DOI: 10.4103/tp.tp_27_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 05/24/2021] [Indexed: 11/25/2022] Open
Abstract
Enterobius vermicularis, also known as pinworm or threadworm, is a large intestinal nematode which has a high prevalence among children and peripubertal age in our country. Transmission usually occurs by autoinfection like finger contamination of the embryonated eggs deposited by the gravid female worm on the perianal and perineal region. Globally, only a few reports are there regarding the isolation of the parasite from extra-intestinal sites. These are two rare case reports of ocular enterobiasis. The first case was a middle-aged female and the second one was a 14-year-old girl, both of whom were referred from other tertiary care hospitals to Calcutta School of Tropical Medicine and who presented with discharge of live motile worms from their eyes (conjunctiva). In both the cases, identification was done by saline wet mount and direct microscopy of a gravid female worm. Plano-convex embryonated eggs were also observed. The oval embryonated eggs, plano-convex in shape, and the gravid female, with its cervical alae near the anterior end and straight thin pointed tail, were identified under the microscope. Although E. vermicularis is a very common large intestinal parasitic infestation of children and adolescents, it can also rarely be isolated from unusual sites, which should be taken into account for effective diagnosis and treatment.
Collapse
Affiliation(s)
- Sayani Bose
- Department of Tropical Medicine, Calcutta School of Tropical Medicine, Kolkata, West Bengal, India
| | - Tanusree Mondal
- Department of Community Medicine, Calcutta Medical College, Kolkata, West Bengal, India
| | - Sudip Kumar Das
- Department of ENT, IPGMER and SSKM Hospitals, Kolkata, West Bengal, India
| | - Aitihya Chakraborty
- Department of Tropical Medicine, Calcutta School of Tropical Medicine, Kolkata, West Bengal, India
| | - Subhoroop Ghosh
- Department of Microbiology, Calcutta School of Tropical Medicine, Kolkata, West Bengal, India
| | - Netai Pramanik
- Department of Tropical Medicine, Calcutta School of Tropical Medicine, Kolkata, West Bengal, India
| | - Tapashi Ghosh
- Department of Microbiology, Calcutta School of Tropical Medicine, Kolkata, West Bengal, India
| | - Ardhendu Maji
- Department of Microbiology, Calcutta School of Tropical Medicine, Kolkata, West Bengal, India
| |
Collapse
|
5
|
Nechi S, Gharbi G, Douggaz A, Boughdir M, Chaabane A, Mfarrej MK, Chelbi E. Bile duct infestation with Enterobius vermicularis diagnosed after cholecystectomy: About two case reports. Clin Case Rep 2021; 9:e05038. [PMID: 34765211 PMCID: PMC8572329 DOI: 10.1002/ccr3.5038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 10/16/2021] [Indexed: 11/18/2022] Open
Abstract
Intestinal infestation with Enterobius vermicularis is common, especially in the developing countries. However, its migration in the bile ducts is rare, often diagnosed after cholecystectomy. More investigations are needed to define its involvement in symptoms presented by patients and the likelihood of complications.
Collapse
Affiliation(s)
- Salwa Nechi
- Department of PathologyMohamed Taher Maamouri HospitalNabeulTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarNabeulTunisia
| | - Ghada Gharbi
- Faculty of Medicine of TunisUniversity of Tunis El ManarNabeulTunisia
- Department of GastroenterologyMohamed Taher Maamouri HospitalNabeulTunisia
| | - Amel Douggaz
- Department of PathologyMohamed Taher Maamouri HospitalNabeulTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarNabeulTunisia
| | - Malak Boughdir
- Faculty of Medicine of TunisUniversity of Tunis El ManarNabeulTunisia
- Department of surgeryMohamed Taher Maamouri HospitalNabeulTunisia
| | - Abir Chaabane
- Department of PathologyMohamed Taher Maamouri HospitalNabeulTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarNabeulTunisia
| | - Mohamed Karim Mfarrej
- Department of PathologyMohamed Taher Maamouri HospitalNabeulTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarNabeulTunisia
| | - Emna Chelbi
- Department of PathologyMohamed Taher Maamouri HospitalNabeulTunisia
- Faculty of Medicine of TunisUniversity of Tunis El ManarNabeulTunisia
| |
Collapse
|
6
|
Handa S, Moharana B, Jha V, Sharma S, Singh M, Gupta P. Enterobious vermicularis induced infectious keratitis following penetrating keratoplasty. Indian J Ophthalmol 2019; 67:1738-1740. [PMID: 31546547 PMCID: PMC6786233 DOI: 10.4103/ijo.ijo_336_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
A 28-year-old man with a prior history of penetrating keratoplasty in the left eye for total corneal melt presented with a 3-day history of a red, painful left eye. On examination, he was found to have graft infiltrates. Microscopic examination of wet mount preparation of corneal scrapings revealed the presence of embryonated eggs of E. vermicularis. Cellophane (scotch) tape preparation from perianal region also revealed embryonated eggs of E. vermicularis as well as live adult worms. Ocular and adnexal involvement by E. vermicularis is extremely rare. Here, we report the first case of infection of a corneal graft with E. vermicularis.
Collapse
Affiliation(s)
- Sabia Handa
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Bruttendu Moharana
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Vivek Jha
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Suryaprakash Sharma
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Manpreet Singh
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Pankaj Gupta
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| |
Collapse
|
7
|
Wendt S, Trawinski H, Schubert S, C. Rodloff A, Mössner J, Lübbert C. The Diagnosis and Treatment of Pinworm Infection. DEUTSCHES ARZTEBLATT INTERNATIONAL 2019; 116:213-219. [PMID: 31064642 PMCID: PMC6522669 DOI: 10.3238/arztebl.2019.0213] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 10/29/2018] [Accepted: 02/07/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND Symptomatic infection with pinworm (Enterobius vermicularis), a human pathogen, is clinically relevant in Germany, with an estimated prevalence in childhood of 2-20%. Enterobiasis can cause major mental distress. There is little systematically verified knowledge on the treatment of this condition, and there is no corresponding German guideline. This review is, therefore, intended as a summary of the current state of knowledge. METHODS This review is based on pertinent publications retrieved by a selective search in PubMed for literature appearing from 1 January 1990 to 5 February 2019 and containing the search terms "enterobiasis," "oxyuriasis," "Enterobius vermicula- ris," "pinworm," and "threadworm." RESULTS More than one billion people worldwide are thought to be infected with pinworm. Estimates of its prevalence among kindergarten and primary-school pupils in Europe are generally near 20%. Infants (<2 years of age), adolescents (>14 years of age), and adults are only sporadically affected. The main risk factors are age 4-11 years, uncontrolled anus-finger-mouth contact, nail-biting (onychophagia/peri- onychophagia), unsupervised body hygiene, and poor compliance with basic hand hygiene. No large-scale, randomized, controlled trials of treatment are available. The approved antihelminthic agents are mebendazole, pyrantel embonate, and pyrvinium embonate (success rates up to >90%). For recurrent infections, prolonged treatment for up to 16 weeks (a "pulse scheme") is recommended. CONCLUSION In nearly all cases, antihelminthic treatment along with attention to hygienic measures can successfully eradicate pinworm infection and prevent recurrence and autoinfection. The involvement of all persons living in the patient's house- hold, including sexual partners, is a prerequisite to the lasting success of treatment.
Collapse
Affiliation(s)
- Sebastian Wendt
- Institute of Medical Microbiology and Epidemiology of Infectious Diseases, Leipzig University Hospital
- Interdisciplinary Centre for Infectious Diseases (ZINF), Leipzig University Hospital
| | - Henning Trawinski
- Interdisciplinary Centre for Infectious Diseases (ZINF), Leipzig University Hospital
- Department of Gastroenterology, Division of Infectious Diseases and Tropical Medicine, Leipzig University Hospital
| | - Stefan Schubert
- Interdisciplinary Centre for Infectious Diseases (ZINF), Leipzig University Hospital
- Department of Gastroenterology, Division of Infectious Diseases and Tropical Medicine, Leipzig University Hospital
| | - Arne C. Rodloff
- Institute of Medical Microbiology and Epidemiology of Infectious Diseases, Leipzig University Hospital
- Interdisciplinary Centre for Infectious Diseases (ZINF), Leipzig University Hospital
| | | | - Christoph Lübbert
- Interdisciplinary Centre for Infectious Diseases (ZINF), Leipzig University Hospital
- Department of Gastroenterology, Division of Infectious Diseases and Tropical Medicine, Leipzig University Hospital
| |
Collapse
|
8
|
Spectrum of parasitic infections in centrifuged urine sediments from a newly developed tertiary care centre in Central India. J Parasit Dis 2018; 42:608-615. [PMID: 30538361 DOI: 10.1007/s12639-018-1043-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Accepted: 10/06/2018] [Indexed: 10/28/2022] Open
Abstract
Detection of urinary parasites is relatively rare and incidental finding in routine urine examination. Common urinary parasitic infections as described in literature include Trichomonas, Schistosoma hematobium and Microfilaria. Trichomonas vaginalis is known to cause vaginitis and urethritis, and may be found in urine sediments. In this study, the spectrum of urinary parasitic infections that had been reported in the last one and a half year was evaluated, and point prevalence in this zone was estimated. Microbiologist opinion had been taken in the difficult cases. Out of the total centrifuged urine sediments examined, urinary parasitic infection was found in 33 cases. The calculated point prevalence is 0.39%. Most common parasitic infection reported was flagellates (27 cases: 25 T. vaginalis, 2 commensal flagellate closest to Chylomastix), followed by three cases showing eggs of Enterobius vermicularis, one case showing larvae of Strongyloides stercoralis and two cases of ciliate protozoa. One of the ciliate protozoa was Balantidium coli and the other one was Balantidium like ciliate morphologically closest to Chilodonella spp. Pyuria was found in 22 out of the 33 cases and hematuria in 17 out of 33 cases. A fairly wide morphological spectrum of parasites may be diagnosed through microscopic examination of centrifuged urine sediment. They may cause pyuria and haematuria, and morphological awareness helps in prompt and effective management in most cases.
Collapse
|
9
|
Amer AS, Saad AE, Antonios SN, Hasby EA. Prevalence of Parasitic Infections in Surgically Removed Appendices: Parasitological and Histopathological Studies. Helminthologia 2018; 55:33-44. [PMID: 31662625 PMCID: PMC6799533 DOI: 10.1515/helm-2017-0056] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Accepted: 11/15/2017] [Indexed: 02/05/2023] Open
Abstract
Intestinal parasites may cause symptoms similar to acute appendicitis. Moreover, the diagnosis of parasitic infections is only done by post-operative histopathological examination of the appendices. Therefore, our aims are to assess the prevalence of intestinal parasitic infections among patients who were be appendectomized at Tanta Hospitals, Egypt and to investigate the possible association between these parasitic infections and appendicitis. To achieve these objectives, we performed a cross-sectional study including 65 patients chosen randomly who had undergone appendectomy over a period of one year from Oct 2015 to Oct 2016. Demographic data were retrieved. Complete blood picture was done. Moreover, appendiceal faecolith were examined macroscopically then by direct smear examination, formol-ether concentration technique, modified Ziehl-Nelseen stain and rapid immunochromatographic test. Histopathological examination of resected appendices was done. We found that parasitic infections were detected in 24.6 % of examined cases. Most of parasitic infections were prevalent in patients belonging to the school age group. Different parasitic infections were detected in the faecolith specimens. Moreover, Enterobious vermicularis adult female and Schistosoma mansoni granuloma were detected in histopathological sections. Also, a spectrum of pathological changes in the appendices was found ranging from lymphoid hyperplasia to acute inflammation with peritonitis. In conclusion, intestinal parasites may cause clinical picture similar to that of acute appendicitis. Therefore, careful attention to clinical history, stool examination and high eosinophilia may aid diagnosis and avoid unnecessary appendectomy. Moreover, the presence of different parasitic stages in the narrow lumen of the appendix may have a role in the development of appendicitis and this needs further studies.
Collapse
Affiliation(s)
- A. S. Amer
- Department of Medical Parasitology, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - A. E. Saad
- Department of Medical Parasitology, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - S. N. Antonios
- Department of Medical Parasitology, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - E. A. Hasby
- Department of Pathology, Faculty of Medicine, Tanta University, Tanta, Egypt
| |
Collapse
|
10
|
Sharma M, Kaul R, Chander B. Enterobius vermicularis infestation leading to Meckel's diverticulitis in an adolescent boy: An extremely rare presentation. J Lab Physicians 2018; 10:106-108. [PMID: 29403216 PMCID: PMC5784279 DOI: 10.4103/jlp.jlp_142_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Enterobius vermicularis is an intestinal nematode commonly affecting children worldwide. Its transmission is by feco-oral route. Meckel's diverticulitis due to E. vermicularis infestation is an extremely rare presentation. An 11-year-old boy presented with acute abdomen. During surgery inflamed Meckel's diverticulum (M.D) was seen. Histopathology examination of specimen revealed E. vermicularis. Till date, only one case of E. vermicularis infestation of M.D is reported around five decades ago. This histopathological confirmation is extremely important as the required treatment (Mebendazole) of the infected case along with household contacts can prevent the spread of infection and may avoid surgery in known contacts.
Collapse
Affiliation(s)
- Manupriya Sharma
- Department of Pathology, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India
| | - Rashmi Kaul
- Department of Pathology, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India
| | - Bal Chander
- Department of Pathology, Dr. RPGMC, Kangra, Tanda, Himachal Pradesh, India
| |
Collapse
|
11
|
Chin Tan G, Stalling M, Boue D, Pyle-Eilola A, Kahwash SB. That's Not Supposed to Be There: An Unusual Finding on Urinalysis. Clin Chem 2017; 63:1660-1661. [PMID: 28963134 DOI: 10.1373/clinchem.2017.271437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Accepted: 02/13/2017] [Indexed: 11/06/2022]
Affiliation(s)
- Geok Chin Tan
- Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, OH.,Department of Pathology, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Melissa Stalling
- Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, OH
| | - Daniel Boue
- Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, OH
| | - Amy Pyle-Eilola
- Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, OH;
| | - Samir B Kahwash
- Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, OH
| |
Collapse
|
12
|
Mallick SK, Sengupta R, Banerjee AK. Unusual presentation of Enterobius vermicularis in conjunctival sac. Trop Doct 2014; 45:247-9. [PMID: 25540166 DOI: 10.1177/0049475514562494] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We report an unusual case of extraintestinal infection with adult Enterobius vermicularis worms in the conjunctival sac of a two-and-a-half year old boy from Alipurduar, West Bengal, India. Only two other similar cases have been reported in the English literature, one from Assam, India in 1976, and the other from Illinois and California in 2011.
Collapse
Affiliation(s)
- Sanjay Kumar Mallick
- Assistant Professor, Department of Microbiology, North Bengal Medical College Sushrutanagar, Darjeeling, India
| | | | - Arup Kumar Banerjee
- Assistant Professor, Department of Microbiology, North Bengal Medical College Sushrutanagar, Darjeeling, India
| |
Collapse
|
13
|
Anuradha S, Bharathi K, Khalique A. Oculosporidial polyp infected secondarily by Enterobius vermicularis. Adv Biomed Res 2014; 3:195. [PMID: 25337525 PMCID: PMC4202509 DOI: 10.4103/2277-9175.140673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2012] [Accepted: 07/14/2012] [Indexed: 11/04/2022] Open
Abstract
Oculosporidiosis caused by Rhinosporidium seeberi is a common infectious disease of south India. Here we are reporting a rare case of oculosporidial polyp containing another parasite Enterobius vermicularis as a co infection. This is the first report of its kind in literature. A nine year old school going girl from a rural area presented with a reddish polypoidal lesion from conjunctiva along with complaints of severe itching over it. On examination, the polyp measured 5 mm × 5 mm in size, reddish, granular with a tendency to bleed on touch. Her vision was normal. All the basic investigations were within normal limits. A differential diagnosis of conjunctival papilloma, foreign body granuloma and oculosporidiosis were considered clinically. The polyp was removed completely using electro cautery with healthy margins around the lesion. To our surprise histopathological examination of the swelling revealed the presence of two different parasites in the conjunctival polyp. Sections showed sporangia of Rhinosporidium seeberi, fragments of Enterobius vermicularis and its eggs. She was then treated with anti helminthic drugs. Two months of follow up till now showed no recurrence of the lesion.
Collapse
Affiliation(s)
- S Anuradha
- Department of Pathology, Shri Satya Sai Medical College and Research Institute, Ammapettai, Kancheepuram District, Tamilnadu, India
| | - K Bharathi
- Department of Pathology, Shri Satya Sai Medical College and Research Institute, Ammapettai, Kancheepuram District, Tamilnadu, India
| | - Abdul Khalique
- Department of Pathology, Shri Satya Sai Medical College and Research Institute, Ammapettai, Kancheepuram District, Tamilnadu, India
| |
Collapse
|
14
|
Bharathi K, Anuradha S, Chandrasekar VA, Thirunarayanan R. Enterobius vermicularis worm granuloma mimicking like a pseudo tumor in the anal canal: An unusual clinical presentation. Trop Parasitol 2013; 2:124-6. [PMID: 23767020 PMCID: PMC3680868 DOI: 10.4103/2229-5070.105178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2012] [Accepted: 12/28/2012] [Indexed: 11/26/2022] Open
Abstract
Enterobius vermicularis is one of the most common intestinal nematode worldwide. Enterobius rarely causes a symptomatic disease. We report here an unusual case of a 60-year old man who came with a polypoidal growth in the anal canal increasing in size for past 20 years. He had pain and intense itching over the mass. The differential diagnosis of squamous papilloma, fibroma and foreign body granuloma were considered. The mass lesion was excised surgically and sent to the pathology laboratory. The mass turned out to be an “E. vermicularis worm granuloma” by histopathologic examination. Thus, timely reporting and surgical resection of such lesion is necessary to prevent further complications. This case is reported here for the unusual presentation of pinworm as a pseudoneoplasm in the anal canal. Incidence of these cases reflected the poor personal hygiene and improper disposal of human excreta in the rural areas. We insist that health education is the only way to control the spread of helminthic infections that causes a heavy disease burden to our country.
Collapse
Affiliation(s)
- K Bharathi
- Department of Pathology, Shri Satya Sai Medical College and Research Institute, Ammapettai, Tamil Nadu, India
| | | | | | | |
Collapse
|