[Severe diarrhea and eosinophilic colitis attributed to pinworms (Enterobius vermicularis)].
ABSTRACT In a 32-year-old woman suffering from severe diarrhoea, eosinophilic infiltration of colonic mucosa and a peripheral eosinophilia, microbiological investigations only revealed large numbers of Enterobius vermicularis (pinworm) in the faeces. Treatment with mebendazole resulted in a rapid resolution of symptoms and disappearance of the eosinophilia, which strongly suggested a causative role of this pinworm in the clinical syndrome of the patient. E. vermicularis is generally regarded as an innocent nematode, which at most causes perianal pruritus due to migration of worms from the colon and expulsion of eggs onto the perianal skin. Although the pinworm maturates and lives in the gut, gastrointestinal symptoms have seldom been reported. E. vermicularis infection should be considered in patients with unexplained eosinophilic enteritis.
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ABSTRACT: A 32-year-old man presented with 3-weeks history of abdominal pain and distention. Physical examination showed ascites, with no stigmata of chronic liver disease. Cytological preparations from the ascitic fluid showed a heavy population of mature eosinophils. Histological examination of colonic biopsies revealed a heavy expansion of the mucosa by sheaths of eosinophils. On the following days, the peripheral eosinophilia, ascites and abdominal pain resolved spontaneously.Saudi medical journal 01/2006; 26(12):1983-5. · 0.55 Impact Factor
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ABSTRACT: Enterobius vermicularis has the broadest geographic range of any helminth and is the most common intestinal parasite seen in the primary care setting. Underappreciated is the fact that it is not always a benign disorder and could even cause life-threatening medical problems. Visualization of the actual worms during endoscopy is probably underappreciated in part because endoscopists have never actually seen the worm and/or are not actively looking for, or anticipating, worms. This report describes a case of worm infection as documented during colonoscopy and confirmed by microscopy. The gross and microscopic appearance of the worm is described. Literature regarding the wide range of gastrointestinal and nongastrointestinal manifestations, including potentially life-threatening illnesses, as well as treatment options, are also reviewed.Southern Medical Journal 10/2005; 98(9):927-9. DOI:10.1097/01.SMJ.0000163347.53138.B1 · 1.12 Impact Factor
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ABSTRACT: Introduction: Oxyuriasis is one of the most common infections among children in developed anddeveloping countries. The current study was performed to determine the prevalence of oxyuriasis(Entrobiasis) and related factors in children aged kindergarten and primary school in urban areas ofSemnan province.Material & Methods: In this cross–sectional study, 688 students were selected by stratified–random sampling and a scotch test was prepared from each student. In addition, other data werecollected through questionnaire. Data analyzing was carried out by Chi-Square test and logisticregression. P-value less than 0.05 was considered statistically significant.Results: Prevalence of oxyuriasis among children was 12.5 % (8.1% in kindergarten children and13.4% in primary school children). The prevalence of Oxyuriasis was significantly difference invarious cities of Semnan province; educated students in Damghan were in higher risk than other cities(OR = 2.47, % 95 CI: 1.26– 4.87). In addition, the students whose their mothers were illiterate or loweducation were exposed to higher risk compared to those students whose motherۥ s education were atsecondry or high school level(OR = 0.49 , % 95 CI : 0.29 – 0.84 ) Furthermore, infrequent handwashing after toilet increased the risk of infection (OR = 1.94, % 95 CI: 1.15 – 3.26). The risk ofinfection was higher among the students who had tiredness feeling in comparison with those studentsdid not show this symptom (OR = 2.61, % 95 CI: 1.30 – 5.25). Moreover, the results showed that aprevious history of oxyuriasis increases the risk of future infections (OR=2.73, % 95 CI: 1.58– 4.71).Conclusion: These findings emphasized that personal hygiene education in mothers, especially forilliterate or low educated mothers, is necessary. It is obvious that a continuous education should begiven to mothers until they achieve an appropriate level of education. This approach has more priorityin Damghan.