Infections Are a Very Dangerous Affair: Enterobiasis and Death

Mansueto, Gelsomina; Simone, Mariavictoria De; Ciamarra, Paola; Capasso, Emanuele; Feola, Alessandro; Campobasso, Carlo Pietro

doi:10.3390/healthcare9121641

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…This is consistent with another report of death attributed to enterobiasis in which the diagnosis was only made after a woman’s autopsy disclosed the presence of Enterobius vermicularis localized in the duodenum and proximal ileum with intestinal bleeding [ 19 ]. Enterobius vermicularis infections can occur asymptomatically among one third of infected people, which makes early diagnosis and intervention challenging.…”

Section: Discussionsupporting

confidence: 91%

“…It has been suggested that, owing to the difficulty of diagnosing Enterobius vermicularis in the absence of classical symptoms, intestinal parasitosis should be considered in the differential diagnosis of clinical syndromes like gastrointestinal hemorrhages [ 19 ]. Could serological intervention help with early detection of Enterobius vermicularis in the absence of clinical symptoms?…”

Section: Discussionmentioning

confidence: 99%

“…Other cases of Enterobius vermicularis associated abdominal pain and/or appendicitis have been reported [ 15 , 16 , 17 , 18 ]. Deaths attributed directly to this parasite are rarely reported and appear to be diagnosed after autopsy [ 19 ]. Recent publications have reported rare complications associated with Enterobius vermicularis .…”

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: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fatal Case of a Child Harboring Enterobius vermicularis

et al. 2023

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“…Lymphedema is usually not life-threatening, but due to the swelling of the affected limb, distress, pain, loss of function, and frequent infections may occur. Moreover, it has a very deleterious effect on self-esteem and causes impairments in body perception [ 4 , 5 , 6 ]. Primary lymphedema is the consequence of a progressive swelling without connection to any medical condition; it is caused by unusual development of the lymphatic system, and the onset could range from childhood to adult age [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review

et al. 2022

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Lymphedema is a chronic disabling condition affecting a growing number of patients worldwide. Although lymphedema is not life-threatening, several reports underlined detrimental consequences in terms of distress, pain, functional impairment, and infections with a relevant decrease in quality of life. Currently, there is no cure, and the therapeutic management of this condition aims at slowing down the disease progression and preventing secondary complications. Early diagnosis is paramount to enhance the effects of rehabilitation or surgical treatments. On the other hand, a multidisciplinary treatment should be truly integrated, the combination of microsurgical and reductive procedures should be considered a valid strategy to manage extremity lymphedema, and rehabilitation should be considered the cornerstone of the multidisciplinary treatment not only for patients not suitable for surgical interventions but also before and after surgical procedures. Therefore, a specialized management of Plastic Reconstructive Surgeons and Physical and Rehabilitative Medicine physicians should be mandatory to address patients’ needs and optimize the treatment of this disabling and detrimental condition. Therefore, the aim of this review was to characterize the comprehensive management of lymphedema, providing a broad overview of the potential therapy available in the current literature to optimize the comprehensive management of lymphedema and minimize complications.

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“…[6][7][8][9] Deaths attributed to enterobiasis included a woman whose autopsies disclosed the presence of E. vermicularis localized in the duodenum and proximal ileum with intestinal bleeding. 10 Ectopic enterobiasis cases have also been reported in female sexual organs such as the vagina 11,12 up to the fallopian tubes 13 and ovaries. 14 In addition, scientific studies claim the presence of larvae in student urine samples 15 which enhances the scope of re-infection after female worms lay eggs in the patient's perianal.…”

Section: Introductionmentioning

confidence: 99%

High case enterobiasis in school children and potential eggs distribution on the bed

Sumanto¹,

Sayono²,

Meikawati³

et al. 2022

JMEN

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Background: Enterobiasis caused by Enterobius vermicularis is a health manifestation of severe concern that needs to be monitored in children because of its recurrence. The cases are relatively frequent in children. The patient will experience discomfort which starts as itching in the perianal area. A decreased quality of life can also occur in children who lose nutrients due to this worm infection. Methods: A cross-sectional study was conducted on 63 elementary school students on the outskirts of a city in Central Java province, Indonesia. Microscopic examination of perianal smear specimens and children's bedding was conducted. Results: The incidence of enterobiasis reached 96.8% of all students under study, while the distribution of worm eggs on children's bedding reached 93.7%. The presence of worm eggs in both was significantly related (p=0.000). The incidence of enterobiasis contributed to the distribution of eggs on the sleeping bed by 49.18% (R2=0.4918) Conclusion: Enterobiasis is a promising threat to children, and needs to be monitored through have regular annual checkups before taking treatment.

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Infections Are a Very Dangerous Affair: Enterobiasis and Death

Cited by 6 publications

References 16 publications

Fatal Case of a Child Harboring Enterobius vermicularis

Fatal Case of a Child Harboring Enterobius vermicularis

Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review

High case enterobiasis in school children and potential eggs distribution on the bed

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