The following was seen in tissue sections of an appendix from a 10 year old boy:
(CLICK ON IMAGES TO ENLARGE). Thanks to Dr. Abdel Elhosseiny for sharing this case with us.
Diagnosis?
Monday, December 6, 2010
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Enterobius vermicularis!
D-shape eggs with round worm
Enterobius vermicularis
GARDIA LAMBLIA CYCTS
Enterobius vermicularis
Enterobius v ermicularis
T. trichiura
This is almost certainly a case of enterobiasis (Enterobius vermicularis). Some diagnostic features which are nicely demonstrated in the appendix cross-sections include alae, intestines, ovaries, and the hard-to-mistake eggs (which I think look like little loaves of bread). Perhaps treatment with a benzimidazole drug or pyrantel pamoate is indicated in this case. Also, prophylactic treatment of close contacts might be warranted, since this poor fellow is a probably a nidus of infection for countless others with whom he physically interacts on a daily basis.
So, what's the scoop with Enterobius gregorii? Real or fiction?
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