Enterobius vermicularis (pinworm) infestation mimicking acute appendicitis in two children from Palestine: a case report.

Autor: Jawabreh I; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine., Amro A; Faculty of Pharmacy, Al-Quds University, Jerusalem, Palestine., Azmi K; Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.; Al-Quds Public Health Society, Jerusalem, Palestine., Batran H; Department of Hematology, Queen Alia Hebron Governmental Hospital, Hebron, Palestine., Abdeen Z; Al-Quds Public Health Society, Jerusalem, Palestine., Hamarsheh O; Department of Biology, Al-Quds University, P.O. Box 51000, Jerusalem, Palestine. ohamarsheh@staff.alquds.edu.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2024 Sep 24; Vol. 18 (1), pp. 445. Date of Electronic Publication: 2024 Sep 24.
DOI: 10.1186/s13256-024-04785-9
Abstrakt: Background: Pinworm, Enterobius vermicularis, is a common parasitic illness, particularly among children in Palestine. On rare occasions, it can cause serious consequences such as acute appendicitis, which can still present a challenging diagnosis especially in children.
Case Presentation: This report describes two cases (a 9 year old male and a 11 year old female, both Palestinian children from Hebron district) of acute appendicitis referred to Queen Alia Hebron Governmental Hospital in Palestine. The clinical examination revealed a lower abdominal pain, and they were diagnosed with appendicitis. The pathological examination after appendectomy showed the presence of eggs and pinworms. Anthelminthic medication was provided, and they were followed up for 6 weeks after the operation without any incidents.
Conclusion: These cases highlight the importance of considering Enterobius vermicularis infestation in children with abdominal pain, as the parasites can mimic appendicitis. Prompt recognition and cautious laparoscopic appendectomy are crucial to prevent unnecessary surgery and peritoneal contamination, with the infestation being easily treatable with anthelmintic medication.
(© 2024. The Author(s).)
Databáze: MEDLINE
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