Acute appendicitis: a case report of hyperinfection with Enterobius vermicularis
Gastroenterology and Hepatology from Bed to Bench,
26 April 2021
Acute appendicitis is one of the most common causes of abdominal emergent surgical disease worldwide. Enterobius vermicularis, a human intestinal parasite, is reported to be associated with acute appendicitis.
We report a case of an 8-year-old girl who was admitted to the emergency unit with complaints of severe abdominal pain and was diagnosed with acute appendicitis. Microscopic pathological examination showed lymphoid follicles with prominent germinal centers and mantle zones within the appendix wall. Cross-sections of multiple female and male Enterobius vermicularis worms and a few longitudinal sections of E.vermicularis were seen.
- vermicularis is one of the most common human parasitic infections, so the possibility of infection of the appendix with E. vermicularis should be considered in the differential diagnosis of agents of appendicitis.
Keywords: Appendicitis, Parasite, Enterobius, Khoy.
(Please cite as: Hooshyar H, Jannati Dastgerdi M, Kazemi E. Acute appendicitis: a case report of hyperinfection with Enterobius vermicularis. Gastroenterol Hepatol Bed Bench 2021;14(3):286-289).
- Appandicitis, Parasite, Entrobious, Khoy
Dixon F, Singh A. Acute appendicitis. Surgery 2020;38:310-7.
Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990;132:910-25.
Georgiou R, Eaton S, Stanton MP, Pierro A, Hall NJ. Efficacy and safety of nonoperative treatment for acute appendicitis: a meta-analysis. Pediatrics 2017;139:e2016300.
Sartelli M, Baiocchi GL, Di Saverio S, Ferrara F, Labricciosa FM, Ansaloni L, et al. Prospective observational study on acute appendicitis worldwide (POSAW). World J Emergy Surg 2018;13:19.
Mostbeck G, Adam EJ, Nielsen MB, Claudon M, Clevert D, Nicolau C, et al,. How to diagnose acute appendicitis: ultrasound first. Insights Imag 2016;7:255-63.
Abdellatif MZ, Abdel-Hafeez EH, Belal US, Mohamed RM, Abdelgelil NH, Abdel-Tawab N, Atiya AM. Identification of parasitic infections in appendectomy specimens using histopathological and faecolith examinations. Parasitol United J 2015;8:101-6.
Yildirim S, Nursal TZ, Tarim A, Kayaselcuk F, Noyan T. A rare cause of acute appendicitis: parasitic infection. Scand J Infect Dis 2005;37:757-9.
Ramezani MA, Dehghani MR. Relationship between Enterobius vermicularis and incidence of acute appendicitis. Southeast Asian J Trop Med Public Health 2007;38:20.
Ichikawa H, Imai J, Mizukami H, Uda S, Yamamoto S, Nomura E, et al,. Amoebiasis presenting as acute appendicitis. Tokai J Exp Clin Med 2016;1:227-9.
Fry FG, Moore JG. Enterobius vermicularis, 10000-year-old human infection. Science 1969;166:1620.
Moosazadeh M, Abedi G, Afshari M, Mahdavi SA, Farshidi F, Kheradmand E. Prevalence of Enterobius vermicularis among children in Iran: A systematic review and meta-analysis. Osong Public Health Res Perspect 2017;8:108.
Kazemzadeh H, Afshar-Moghadam N, Meamar AR, Rahimi HR , Kia EB. Enterobious vermicularis and the Appendix: Report of Five Cases. Iranian J Parasitol 2008;3:54-5.
Taghipour A, Olfatifar M, Javanmard E, Norouzi M, Mirjalali H, Zali MR. The neglected role of Enterobius vermicularis in appendicitis: A systematic review and meta-analysis. PLoS One 2020;15:e0232143.
Mowlavi G, Massoud J, Mobedi I, Rezaian M, Mohammadi SS, Mostoufi NE, Gharaguzlo MJ. Enterobius vermicularis: A controversial cause of appendicitis. Iranian J Publ Health 2004;33:27-31.
15.Ahmed MU, Bilal M, Anis K, Khan AM, Fatima K, Ahmed I, et al. The frequency of Enterobius vermicularis infections in patients diagnosed with acute appendicitis in Pakistan. Glob J Health Sci 2015;7:196-201.
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