The Rare Association of Enterobius vermicularis Infestation Causing Acute Appendicitis in Children: A Case Report and Review of the Literature
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 1
Abstract
Acute appendicitis is the commonest causes of emergency surgery, having worldwide prevalence and affects all age groups. The etiology of acute appendicitis is multi-factorial and the pathology is most likely the obstruction of the lumen of the appendix. Acute appendicitis due to helminthes and protozoan infection is quite rare. Other unusual findings in appendectomy specimens are benign or malignant tumors. The presence of parasitic helminth Enterobius vermicularis (pinworm) in the appendix sometimes produces symptoms of acute appendicitis without any histological evidence, even though a patient might not have appendicitis. The causal relationship of appendicitis and pin worms’ remains controversial. We present here a case of an 11-year old boy with enterobiasis of appendix presented with clinical features of acute appendicitis. E. vermicularis was discovered inadvertently after laproscopic appendectomy in a highly inflamed appendix. Prior to surgery, no parasites were revealed histopathologically. The relevant literature is also reviewed as accessed via PubMed and Google Scholar databases. Pinworm infestation can have various clinical presentations, including non-specific symptoms of decreased appetite, peri-anal pruritis, and loss of sleep. In acute condition, it can produce symptoms of 'appendiceal colic', or acute appendicitis in a non-inflamed appendix; or induce chronic inflammatory eosinophilic infiltrate or no tissue reaction in a histological appendicitis. In conclusion, the most common surgical condition in children is acute appendicitis. Parasitic infestations are a concern on a worldwide basis. The role of parasitic infestation in relation to appendicitis is controversial. Intestinal parasites may cause noteworthy morbidity and mortality.
Authors and Affiliations
Sheikh Hasan Habib, Waliza Ansar, Shyamasree Ghosh, Achintya Kumar Das
Keywords
Related Articles
- EP ID EP372612
- DOI -
- Views 58
- Downloads 0
Smoking Index and Auditory Reaction Time- A Comparative Study
Abstract:Tobacco smoking is known as one of the most abused drugs for all ages. Cigarette is a factor affecting reaction time due to stimulant property of its active ingredient nicotine. Smoking can be assessed by smokin...
Strategies to Improve Nurses Job Performance in Jordan
In Jordon, the healthcare part is facing tough competition because of the increased expectations from the patients. The role of nurses is important in patients’ evaluation of their experience in thehospital; the purpose...
Clinical Profile of Herpes Simplex Keratitis in a Tertiary Hospital in North Eastern Malaysia
Abstract: This was a retrospective study documenting the clinical profile and outcome of herpetic keratitis treated in a tertiary hospital in Malaysia from January 2012 to April 2014. A total of 41 patients [44 eyes] wer...
Prevalance of Depression in Patients with ESRD on HD- A Cross Sectional Observational Study in a Teaching Hospital in Karnataka
To assess the prevalence of depression in patients on chronic hemodialysis and to evaluate the risk factors. 100 patients undergoing hemodialysis were included in this study. After obtaining ethical clearance and informe...
Combination of traditional teaching and innovative case based learning in biochemistry: A novel approach in medical education.
Abstract: Lectures continue to be an efficient and standardized way to deliver information to large groups of students. It has been well documented that students prefer interactive lectures, based on active learning prin...