An incidental colonoscopy: finding Trichuris trichiura: a case report and review of literature
DOI:
https://doi.org/10.18203/2320-6012.ijrms20234024Keywords:
Trichuris trichiura, Wet mount, ColonoscopyAbstract
Trichuris trichiura commonly referred to as whipworm, has a world-wide distribution, particularly countries with warm, humid climates. This parasite is reported from nearly one quarter of the world population, especially from less developed countries. Poor hygiene conditions are associated with trichuris transmission, usually this infection remains asymptomatic in human but heavy infection can lead to chronic bloody diarrhoea associated with complications like rectal prolapsed, appendicitis, proctitis. Very few cases of extensive trichuriasis have been reported world-wide. Usually, diagnosis is confirmed by detection of eggs in stool sample. This case report deals with a patient of trichuriasis, who was diagnosed by detection of the parasite on colonoscopy. Thus, colonoscopy might be a useful diagnostic tool, especially in symptomatic patients who are infected by only few male worms with no eggs in the stool. Hence cannot be diagnosed by conventional methods.
References
Centers for disease control and prevention of USA. Parasites Trichuriasis (also known as Whipworm infection), 2023. Available at: https://www.cdc.govt/parasite/whipworm/. Accessed on 25 September, 2023.
Kim JB, Seo K and Moon W. Trichuris trichiura infection in North Korean defector resulted in chronic abdominal pain and growth retardation. Korean J Gastroenterol. 2017;69(4):243-7.
Gachinmath SB, Pratibha S, Dias M, Mallikarjun P. Extensive persistent Trichuriasis: A case report. Int J Med Public Health. 2014;4:523-5.
Hotez PJ, Molyneux DH, Fenwick A, Jacob K, Sonia ES, Jeffrey DS et al. Control of neglected tropical diseases. N Engl J Med. 2007;357(10):1018-27.
Hind IF, Akbar H. Trichuris trichiura induce massive lowers Gastrointestinal hamorrhage a rare presentation. Internet J Gastroenterol. 2009;9(2):1-5.
Ok KS, Kim YS, Song JH, Lee JH, Ryu SH, Lee JH et al. Review of Trichuris trichiura infection diagnosed by colonoscopy. Case reports and review of literature. Korean J Parasitol. 2009;47(3):275-80.
Diniz-Santos DR, Jambeiro J, Mascarenhas RR, Silva LR, Massive Trichuris trichiura infection as a cause of chronic bloody diarrhoea in a child. J Trop Paediatr. 2006;52(1):66-8.
Do KR, Cho YS, Kim HK, Hwang BH, Shin EJ, Jeong HB et al. Intestinal Helminthic infection diagnosed by Colonoscopy in a Regional hospital during 2001-2008. Korean J Parasitol. 2010;48(1):75-8.
Lorenzetti R, Campo SM, Stella F, Hassan C, Zullo A, Morini S. An unusual endoscopic finding: Trichuris trichiura case report and review of literature. Dig Liver Dis. 2003;35(11):811-3.
Yoshida M, Kutsumi H, Ogawa M. Soga T, Nishumuna K, Tomita S et al. A case of Trichuris trichiura infection diagnosed by colonoscopy. Am J of Gastroenterol. 1996;91(1)161-2.
Lin AT, Lin HH, Chen CL. A colonoscopy diagnosis of whipworm infection. J of Gastroenterol Hepatol. 2005;20(6):956-7.
Lorenzetti R, Compo SM, Stella F, Hassan C, Zullo A, Morini S. An unusual endoscopic finding Trichuris trichiura case report and review of literature. Dig Liver Dis. 2003;35(11):811-3.
Mukhopadhyay S, Srivastava N, Malpekar K, Baradkar V, Shastri JS. Adult worms of Trichuris trichiura in an anaemic adult patient. Indian Practitioner. 2015;68(1):44-45.
Khuroo MS, Khuroo NS. Trichuris dysentery syndrome: a common cause of chronic iron deficiency anemia in adults in an endemic area (with videos). Gastrointest Endosc. 2010;71(1):200-4.
