Topical anthelmintic treatment of recurrent genitourinary enterobiasis.

Singh, S. K.; Samantaray, Jyotish Chandra

doi:10.1136/sti.65.4.284-a

Cited by 5 publications

(5 citation statements)

References 5 publications

(1 reference statement)

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“…Chronic Enterobius genitourinary infections with pyuria and demonstrable eggs and larva in urine and vaginal discharge have been recorded in India and treated with piperazine (Singh & Samantaray, 1989). The case presented here is unusual because live adult pinworms were recovered from the anterior fornix of the vagina on multiple occasions despite complete treatment, but were not associated with pruritis ani.…”

Section: Discussionmentioning

confidence: 76%

“…However, in the present case, despite complete anthelmintic treatment and resulting negative stool and urine samples, the occurrence of living worms in the vaginal fornix on multiple occasions suggested that the focus of infection was the vagina. Chronic Enterobius genitourinary infections with pyuria and demonstrable eggs and larva in urine and vaginal discharge have been recorded in India and treated with piperazine (Singh & Samantaray, 1989). The case presented here is unusual because live adult pinworms were recovered from the anterior fornix of the vagina on multiple occasions despite complete treatment, but were not associated with pruritis ani.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent paediatric pinworm infection of the vagina as a potential reservoir for Enterobius vermicularis

et al. 2013

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Enterobius vermicularis infection remains one of the most common parasitic infections, particularly prevalent in children. Enterobiasis, although not usually dangerous, may cause significant morbidity. Elimination of the parasite from a family or an institution often poses problems, either because of an incomplete cure or re-infection. While there have been limited reports of ectopic enterobiasis throughout the world, ours is probably one of the rarest reports of recurrent vaginal E. vermicularis infection in the absence of any gastrointestinal symptoms despite complete treatment. A 4-year-old girl presented with recurrent episodes of vulval itching on 3-4 occasions over 2 years. There was no pruritis ani nor urinary/gastrointestinal complaints. The vulva was inflamed with 4-5 living worms, 6-7 mm in length, emerging from the anterior vaginal fornix, but with no vaginal discharge. Direct microscopic examination of vaginal swabs revealed adult worms of Enterobius but no eggs. Repeated stool samples from the patient, parents and a sibling were negative. The patient was treated orally with 100 mg of mebendazole for 3 days followed by two more courses at 3-week intervals over a period of 3 months. Recurrent vaginal enterobiasis despite complete treatment and in the absence of any gastrointestinal involvement suggests that the vagina is a potential reservoir for E. vermicularis, which supports the theory of rare ectopic enterobiasis through the ascending pathway of the female genital tract.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Recurrent paediatric pinworm infection of the vagina as a potential reservoir for Enterobius vermicularis

et al. 2013

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“…E. vermicularis has rarely been reported at ectopic sites such as genitourinary tract, kidney, and eye. [ 3 4 5 ]…”

Section: Discussionmentioning

confidence: 99%

Enterobius vermicularis infestation leading to Meckel’s diverticulitis in an adolescent boy: An extremely rare presentation

2018

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Enterobius vermicularis is an intestinal nematode commonly affecting children worldwide. Its transmission is by feco-oral route. Meckel's diverticulitis due to E. vermicularis infestation is an extremely rare presentation. An 11-year-old boy presented with acute abdomen. During surgery inflamed Meckel's diverticulum (M.D) was seen. Histopathology examination of specimen revealed E. vermicularis. Till date, only one case of E. vermicularis infestation of M.D is reported around five decades ago. This histopathological confirmation is extremely important as the required treatment (Mebendazole) of the infected case along with household contacts can prevent the spread of infection and may avoid surgery in known contacts.

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“…1,2 Chronic, relapsing or recurrent infection, particularly in children, are even more of a rare finding, and only one case of chronic urinary tract infection with vulvovaginitis has been reported in an adult woman. 3 Case report A 7-year-old girl presented for evaluation of repeated episodes suggestive of urinary tract infection. She complained of recurrent episodes of fever and burning micturition for a period of 1 year.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Chronic, relapsing or recurrent infection, particularly in children, are even more of a rare finding, and only one case of chronic urinary tract infection with vulvo-vaginitis has been reported in an adult woman. 3…”

Section: Introductionmentioning

confidence: 99%

Enterobius vermicularis: An unusual cause of recurrent urinary tract infestation in a 7-year-old girl: case report and review of the literature

et al. 2015

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Enterobius vermicularis, the pinworm, is one of the most prevalent intestinal parasites in the world. Ectopic infestations in the genital or urinary tracts rarely occur and chronic enterobiasis of the urinary tract has rarely been reported. Here we present such a case in a 7-year-old girl presenting with fever, pain in the abdomen, vomiting and burning micturition. Ultrasonography and micturating cystourethrogram (MCU) studies were normal. The ova were demonstrated from both the patient's urine and stool specimen. This child was treated successfully with Albendazole and Ivermectin.

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Topical anthelmintic treatment of recurrent genitourinary enterobiasis.

Cited by 5 publications

References 5 publications

Recurrent paediatric pinworm infection of the vagina as a potential reservoir for Enterobius vermicularis

Recurrent paediatric pinworm infection of the vagina as a potential reservoir for Enterobius vermicularis

Enterobius vermicularis infestation leading to Meckel’s diverticulitis in an adolescent boy: An extremely rare presentation

Enterobius vermicularis: An unusual cause of recurrent urinary tract infestation in a 7-year-old girl: case report and review of the literature

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