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.
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?
Every week I will post a new Case, along with the answer to the previous case. Please feel free to write in with your answers, comments, and questions. Also check out my image archive website at http://parasitewonders.com. Enjoy!
The Fine Print: Please note that all opinions expressed here are mine and not my employer. Information provided is for educational purposes only. It is not intended as and does not substitute for medical advice. I do not accept medical consults from patients.
7 comments:
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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