Enterobius vermicularis in a 14-Year-Old Girl's Eye

Abstract

We report an unusual case of extraintestinal infection with adult Enterobius vermicularis worms in the nares and ocular orbit of a 14-year-old girl in Illinois. Only one other similar case has been reported in the English-language literature. CASE REPORTA 14-year-old Caucasian girl presented to the local emergency department (ED) after having removed and discarded what she described as a small motile worm from her eye the night before. On physical examination, she appeared well and her vision was normal. Ocular exam by a nurse revealed a single motile worm beneath the right lower lid in the inferior conjunctival sac which was removed on a cotton swab. The patient was also seen by a physician's assistant who identified and removed three additional worms over a 60-min period. The patient was then seen by an ED physician, and ophthalmology and infectious diseases specialists were consulted.

Enterobius vermicularis in anterior chamber of eye

“…There was also one worm crawling out of the nose. 1 In next reported case 42 worms were expelled from eye, conjuctival sac in 3 weeks period. 12 The mechanism by which eggs or worms reached the conjunctival sac was not clear but they suspected it was most likely the result of direct inoculation of adult female worms from perianal skin to the eyes by the child's fingers.…”

“…Kabindra Bajracharya 1 , Arjun Malla Bhari 1 , Salma KC Rai 2 , Saraswati Pandey 3 1 Associate Professor and Consultant Pediatric Ophthalmologist, 2 Professor and Consultant Pediatric Ophthalmologist, 3 The table hyphema was noted. The anterior chamber was washed and formed, two nylon 10 ' 0 suture was applied and subconjunctival injection of dexamethasone and gentamycin given.…”

“…Enterobius vermicularis, also known as pinworm, is an intestinal nematode which is transmitted through fecal-oral route. 1 Adult worms live in the caecum and vermiform appendix of human. 2 The extra intestinal presentation of the worm is rare.…”

Oculosporidial polyp infected secondarily by Enterobius vermicularis

“…Enterobius vermicularis in the eye and its adnexa is documented in three case reports from different countries. [ 8 9 ] But the oculosporidial polyp containing the Enterobius vermicularis is very rare and to our knowledge, this is the first case report of its kind.…”

Enterobius vermicularis worm granuloma mimicking like a pseudo tumor in the anal canal: An unusual clinical presentation

“…[4] Very few case reports are there in which live pinworms are found in the conjunctival sac of eye and in nares. [5]…”