A rare case of acute appendicitis with <i>Enterobius vermicularis</i>

Harumatsu, Toshio; Baba, Tokuro; Orokawa, Tomofumi; Sunagawa, Hiroki; Ieiri, Satoshi

doi:10.1111/ped.15195

Cited by 1 publication

(2 citation statements)

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“…The severe and worsening abdominal pain experienced by the patient, in the absence of any other relevant medical history, is consistent with other patients in which eosinophilic colitis has been associated with larvae of Enterobius vermicularis [ 22 ]. Although the low eosinophil level in the blood of the 15-year-old girl was of concern, a recent case report by Harumatsu et al (2022) reported a similar observation, with eosinophil accounting for 0.1% [ 21 ]. Pinworm infections can cause eosinophilic enterocolitis, appendicitis, intestinal obstruction, intestinal perforation, hepatic infection, urinary tract infection, sialadenitis, enterocolitis, eosinophilic ileocolitis, pelvic inflammatory disease, perianal abscesses, and perianal granulomas, and can mimic inflammatory bowel diseases [ 23 ].…”

Section: Discussionmentioning

confidence: 97%

“…Blood sample examination results revealed 0.1% eosinophils. Interestingly, neither eosinophil infiltration or granulation, nor obstruction of the appendiceal lumen by Enterobius vermicularis , were observed [ 21 ]. Here, we report a rare mortality of a young girl in which the cause of death may be attributed to Enterobius vermicularis infection.…”

Section: Introductionmentioning

confidence: 99%

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Fatal Case of a Child Harboring Enterobius vermicularis

et al. 2023

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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.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%